JUDIE LYN GORDON-LOUISON (NPI# 1598329534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598329534 |
| Entity Type | Individual |
| Full Name | JUDIE LYN GORDON-LOUISON |
| Practice Address |
2429 East Fayette Street, Syracuse Syracuse NY 13224 |
| Practice Telephone | 3158806085 |
| Mailing Telephone | 3158806085 |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2019-04-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
713124 | NY | Nursing Service Providers |
| Street Address |
2429 EAST FAYETTE STREET, SYRACUSE |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669942363 | Julie E. Clonan | Speech-Language Pathologist | 3049 E. Genesee St., Syracuse, NY 13224 | 2018-11-26 |
| 1043604762 | Heather Lynn Blum | Licensed Practical Nurse | 120 Niven Street, Syracuse, NY 13224 | 2015-03-19 |
| 1912226523 | Florence Delisi | Licensed Practical Nurse | 2315 East Fayette St, Syracuse, NY 13224 | 2010-05-21 |
| 1336476563 | Kimberlee Anne Difulio | Licensed Practical Nurse | 1615 Meadowbrook Drive, #3, Syracuse, NY 13224 | 2009-11-09 |
| 1134371081 | Amy Lynn Ezekiel | Speech-Language Pathologist | 3049 East Genesee Street, Syracuse, NY 13224 | 2008-10-22 |
| 1104951490 | Daniel Stephen Delluomo | Dentist | 3175 East Genesee St, Suite 2, Syracuse, NY 13224 | 2007-02-23 |
| 1447317037 | Fumiyo Hirano | Social Worker | 182 Edgehill Road, Syracuse, NY 13224 | 2007-01-02 |
| 1295811198 | Mark A Matloff | Psychologist | 409 Standish Drive, Syracuse, NY 13224 | 2006-10-31 |
| 1235222530 | Bernadine Alese Martin | Dentist | 1125 Salt Springs Road, Syracuse, NY 13224 | 2006-10-02 |
| 1689633695 | Steven Michael Kaplan | Optometrist | 2921 Erie Blvd East, Empire Vision Centers, Syracuse, NY 13224 | 2006-03-20 |
| Find all providers in zip 13224 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942754726 | Cassandra Michael | Registered Nurse | 320 Rugby Rd, Syracuse, NY 13203-1449 | 2016-08-09 |
| 1548679962 | Jenna E Rupert | Registered Nurse | 317 S Salina St, Syracuse, NY 13202-1601 | 2014-08-11 |
| 1154420230 | Elaine Mary Scherba-germain | Registered Nurse | 4898 Royal Crab Ave, Syracuse, NY 13215-9310 | 2006-09-22 |
| 1447851811 | Christopher Pernisi | Registered Nurse | 620 Madison St, Syracuse, NY 13210-2319 | 2020-11-03 |
| 1356942718 | Lesley Musgrove | Registered Nurse | 620 Madison St, Syracuse, NY 13210-2319 | 2020-11-03 |
| 1154943314 | Michelle Pisano | Registered Nurse | 620 Madison St, Syracuse, NY 13210-2338 | 2020-05-11 |
| 1750916474 | Monxque Marceis | Registered Nurse | 620 Madison St, Syracuse, NY 13210-2319 | 2020-03-04 |
| 1144869934 | Jennifer Volcko | Registered Nurse | 620 Madison St, Syracuse, NY 13210-2319 | 2019-12-27 |
| 1275171324 | Jaylin Vernon | Registered Nurse | 620 Madison St, Syracuse, NY 13210-2319 | 2019-12-18 |
| 1881232577 | Karen Black | Registered Nurse | 620 Madison St, Syracuse, NY 13210-2319 | 2019-12-13 |
| Find all providers in SYRACUSE | ||||
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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.