HEATHER R GOURDIN (NPI# 1588872576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588872576 |
Entity Type | Individual |
Full Name | HEATHER R GOURDIN |
Credential | ARNP |
Practice Address |
80 Highland Street Laconia NH 03246-3235 |
Mailing Address |
Po Box 1327 Laconia NH 03247-1327 |
Practice Telephone | 6035245151 |
Practice Fax Number | 6035277184 |
Mailing Telephone | 6035243211 |
Mailing Fax Number | 6035277038 |
Enumeration Date | 2007-05-21 |
Last Update Date | 2015-11-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
036635-23 | NH | Physician Assistants & Advanced Practice Nursing Providers |
N | 364SN0000X |
Clinical Nurse Specialist Specialization: Neonatal |
AP4716 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 003143602B | 05 | |
FL | 010583800 | 05 |
Street Address |
80 HIGHLAND STREET |
City | LACONIA |
State | NH |
Zip Code | 03246-3235 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497744668 | Frederick N Jones | Emergency Medicine | 80 Highland Street, Laconia, NH 03246-3235 | 2005-10-19 |
1528444015 | Emily H Reckner | Physician Assistant | 80 Highland Street, Laconia, NH 03246-3235 | 2015-08-06 |
1477975753 | Ravi Shahu Khal | Internal Medicine | 80 Highland Street, Laconia, NH 03246-3235 | 2014-01-06 |
1336580810 | Gurpinder Singh | Internal Medicine | 80 Highland Street, Laconia, NH 03246-3235 | 2013-07-11 |
1760738058 | Monisha Shrestha | Internal Medicine | 80 Highland Street, Laconia, NH 03247-1327 | 2012-07-24 |
1801150768 | David C Melia | Emergency Medicine | 80 Highland Street, Laconia, NH 03246-3235 | 2012-06-26 |
1689933004 | Steven M Dewitt | Emergency Medicine | 80 Highland Street, Laconia, NH 03246-3235 | 2012-05-04 |
1346508108 | Samuel Luke Brown | Emergency Medicine | 80 Highland Street, Laconia, NH 03246-3235 | 2012-04-30 |
1720398175 | Benjamin L Stafford | Nurse Anesthetist, Certified Registered | 80 Highland Street, Laconia, NH 03246-3235 | 2010-10-19 |
1679704597 | Nadia A Malik | Internal Medicine | 80 Highland Street, Laconia, NH 03246-3235 | 2009-07-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417495391 | Leslie A Gray | Counselor | 85 Fenton Ave, Laconia, NH 03246 | 2017-02-10 |
1649726399 | Purvi Patel | Pharmacist | 1381 Lakeshore Rd, Gilford, NH 03246 | 2016-08-31 |
1619246683 | Krista Martin | Occupational Therapist | 30 County Drive, Belknap County Nursing Home, Laconia, NH 03246 | 2011-12-21 |
1073891057 | Amjad Farah | Internal Medicine | 85 Spring St Ste 2a1, Laconia, NH 03246 | 2011-07-25 |
1386935641 | Jacqueline Leigh Berg | Marriage & Family Therapist | 585 Union Ave, #7a, Laconia, NH 03246 | 2011-04-21 |
1689903007 | Berwick Family Health Center LLC | Family Medicine | 36 Endicott, Laconia, NH 03246 | 2009-12-14 |
1083856850 | Maryclaire Paicopolis Md PC | Internal Medicine | 451 Belknap Mountain Rd, Gilford, NH 03246 | 2009-03-25 |
1013156157 | Rodney Ed Baker | Counselor | 771 N Main Street, Laconia, NH 03246 | 2009-02-12 |
1902062979 | Edith J Gault | Social Worker | 67 Communications Way, Laconia, NH 03246 | 2008-07-30 |
1003029091 | Susan Eve Kelly | Occupational Therapist | 79 Blueberry La, Laconia, NH 03246 | 2007-05-07 |
Find all providers in zip 03246 |
Taxonomy Code | 363LN0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Neonatal |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508477720 | Holly M Newton | Nurse Practitioner | One Medical Center Dr, Lebanon, NH 03756-0001 | 2020-08-11 |
1447890272 | Brianna Francesca Tarulli | Nurse Practitioner | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2020-01-09 |
1053841510 | Ashley A Sartori | Nurse Practitioner | 1 Medical Center Dr, Neonatology, Lebanon, NH 03756-1000 | 2017-06-18 |
1538612858 | Tammy Lynn Murray | Nurse Practitioner | 1 Medical Center Dr, Neonatology, Lebanon, NH 03756-1000 | 2016-08-03 |
1356763643 | Carolyn Marie Penrose | Nurse Practitioner | 1 Medical Center Dr, Dhmc Department of Neonatology, Lebanon, NH 03756-1000 | 2014-01-06 |
1790028363 | Abigail Elizabeth Haynes | Nurse Practitioner | 1 Medical Center Dr, Dhmc Department of Neonatology, Lebanon, NH 03756-1000 | 2013-04-02 |
1932453511 | Jillian Marie Brady | Nurse Practitioner | 1 Medical Center Dr, Neonatology, Lebanon, NH 03756-1000 | 2012-11-02 |
1578847521 | Tehila Bartlett | Nurse Practitioner | 1 Elliot Way, Manchester, NH 03103-3502 | 2011-10-07 |
1295034981 | Michael Andrew Frace | Nurse Practitioner | 1 Medical Center Dr, Dhmc- Department of Neonatology, Lebanon, NH 03756-1000 | 2011-03-21 |
1790999241 | Katherine Ellen Keener | Nurse Practitioner | 1 Elliot Way, Manchester, NH 03103-3502 | 2007-05-10 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on HEATHER R GOURDIN.
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.