MR. SHANNON L GORDON (NPI# 1538131099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538131099 |
| Entity Type | Individual |
| Full Name | MR. SHANNON L GORDON |
| Credential | ATC |
| Practice Address |
2601 Jess Neely Dr Nashville TN 37212 |
| Practice Telephone | 6153228769 |
| Mailing Telephone | 6153228769 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT 000195 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT-1680 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940654 | Shannon Gordon | Technician | 1224 W Lake Mead Blvd, Las Vegas, NV 89106-2415 | 2020-10-19 |
| 1760868251 | Shannon Gordon | Counselor | 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 | 2015-08-06 |
| 1134486426 | Shannon F Gordon | Social Worker | 55 Lake Ave N, Umass Memorial Medical Center, Psychiatry, Worcester, MA 01655-0002 | 2012-04-12 |
| Street Address |
2601 JESS NEELY DR |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346792793 | Christopher Matarazzo | Specialist/Technologist | 2601 Jess Neely Dr, Nashville, TN 37212-2039 | 2016-11-02 |
| 1134504988 | Joseph Wisniewski | Specialist/Technologist | 2601 Jess Neely Dr, Nashville, TN 37212-2039 | 2015-07-22 |
| 1023412087 | Brandon Wells | Specialist/Technologist | 2601 Jess Neely Dr, Nashville, TN 37212-2039 | 2014-10-20 |
| 1710389010 | Kimberly Ferrill-moseley | Specialist/Technologist | 2601 Jess Neely Dr, Nashville, TN 37212-2039 | 2014-09-18 |
| 1225430523 | Nicholas Sparacio | Specialist/Technologist | 2601 Jess Neely Dr, Athletic Training Room, Nashville, TN 37212-2039 | 2014-09-18 |
| 1790112589 | Sabrina Nicole Rosson | Specialist/Technologist | 2601 Jess Neely Dr, Nashville, TN 37212-2039 | 2013-10-11 |
| 1700137908 | Justin Mark Matlage | Specialist/Technologist | 2601 Jess Neely Dr, Nashville, TN 37212-2039 | 2012-09-27 |
| 1326395773 | Erika Lynn Theiss | Specialist/Technologist | 2601 Jess Neely Dr, Nashville, TN 37212-2039 | 2012-08-04 |
| 1407180839 | Sara Frances Bergeron | Specialist/Technologist | 2601 Jess Neely Dr, Nashville, TN 37212-2039 | 2009-10-02 |
| 1710129754 | Vickie Woosley | Psychologist | 2601 Jess Neely Dr, Nashville, TN 37212-2039 | 2009-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063063204 | Nichole Sherwood | Pharmacist | 1314 24th Avenue S, Nashville, TN 37212 | 2019-09-27 |
| 1710460795 | Samantha Catherine Beretta | Counselor | 1710 17th Ave S, Nashville, TN 37212 | 2018-09-14 |
| 1417482449 | Elise Stephenson Scott | Student in an Organized Health Care Education/Training Program | 1601 21st Avenue South, Room 3106, Nashville, TN 37212 | 2017-04-27 |
| 1851848410 | Tracy Wehby | Nurse Practitioner | 2323 21st Ave S 3rd Floor, Nashville, TN 37212 | 2016-09-01 |
| 1821544578 | Lisa Malone | Acupuncturist | 1615 Horton Ave, Nashville, TN 37212 | 2016-08-31 |
| 1568836518 | Anna Ezell | Social Worker | 1414 17th Ave S, Nashville, TN 37212 | 2015-11-13 |
| 1427437789 | Ryan Castoro | Physical Medicine & Rehabilitation | 2201 Childrens Way Blvd., Suite 1318, Nashville, TN 37212 | 2015-05-20 |
| 1730567900 | Khushbu Shah | Student in an Organized Health Care Education/Training Program | 1601 23rd Ave S Rm 3106, Nashville, TN 37212 | 2015-05-08 |
| 1295160760 | Jacqueline Klaver | Clinical Neuropsychologist | 2200 21st Ave S Ste 300, Nashville, TN 37212 | 2013-09-03 |
| 1992145577 | Leslie Walls Binford | Nurse Practitioner | 2021 21st Ave S Ste 410, Nashville, TN 37212 | 2013-06-27 |
| Find all providers in zip 37212 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140453 | Seth Davis | Specialist/Technologist | 1561 Exum Rd, Nashville, NC 27856-9255 | 2020-07-02 |
| 1710449384 | Ryan Clark | Specialist/Technologist | 2431 Alteras Dr, Nashville, TN 37211-7279 | 2019-04-03 |
| 1841763612 | Garret Perry | Specialist/Technologist | South Tower 1215 21st Ave S #3200, Nashville, TN 37232-0001 | 2019-01-04 |
| 1841765161 | Joseph Wikel | Specialist/Technologist | 1221 Lischey Ave, Nashville, TN 37207-5708 | 2018-10-13 |
| 1699279018 | Kelsey Ferguson | Specialist/Technologist | 135 Twin Oaks Dr, Nashville, TN 37211-2766 | 2018-03-20 |
| 1477007789 | Jonathan Becker | Specialist/Technologist | 251 S Hoffman St, Nashville, IL 62263-1751 | 2016-08-04 |
| 1891144028 | Kristen Nicole Busby | Specialist/Technologist | 146 Blue Bayou Ests, Nashville, AR 71852-7465 | 2016-06-08 |
| 1093171746 | Tiffany D Williams | Specialist/Technologist | 129 Brixworth Ln, Apt 06, Nashville, TN 37205-2047 | 2016-01-11 |
| 1427447937 | Laurie Cook | Specialist/Technologist | 377 Stones River Cv, Nashville, TN 37214-4805 | 2015-01-21 |
| 1831588532 | Brooke Bergeron | Specialist/Technologist | 3108 Belwood St, Nashville, TN 37203-1211 | 2015-01-19 |
| Find all providers in NASHVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.