DR. SUZANN GORDON (NPI# 1619247681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619247681 |
Entity Type | Individual |
Full Name | DR. SUZANN GORDON |
Credential | DNP, PMHNP-BC |
Practice Address |
1600 Medical Pkwy Carson City NV 89703 |
Mailing Address |
1600 Medical Pkwy Carson City NV 89703-4625 |
Practice Telephone | 7754457350 |
Mailing Telephone | 7754457350 |
Enumeration Date | 2012-01-09 |
Last Update Date | 2018-09-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | RN57117 | NV | Nursing Service Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
812973 | NV | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1600 MEDICAL PKWY |
City | CARSON CITY |
State | NV |
Zip Code | 89703 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316943913 | Stephen Lane Perry | Internal Medicine | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2005-06-28 |
1679194187 | Cheryl Gallio | Dietitian, Registered | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2020-05-06 |
1275154171 | Cristina Mosqueda | Registered Nurse | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2020-05-01 |
1821619727 | Danielle Dyan Burian | Nurse Practitioner | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2020-05-01 |
1538780424 | Valerie R Jakubos | Nurse Practitioner | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2020-05-01 |
1548805708 | Chelsea Minifie | Dietitian, Registered | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2019-11-12 |
1053955047 | Bethany Adams | Registered Nurse | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2019-11-01 |
1104484138 | Hillary Lawson | Dietitian, Registered | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2019-06-04 |
1396300042 | Bridget Henderson | Dietitian, Registered | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2019-05-08 |
1124598818 | Julie Westwood | Nurse Practitioner | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2018-11-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487215232 | Madison M Gurries | Audiologist | 1493 Medical Parkway, Carson City, NV 89703 | 2019-06-24 |
1609332949 | Tsl Skyline Estates, LLC | Assisted Living Facility | 2705 Mountain St., Carson City, NV 89703 | 2019-02-12 |
1790252120 | Reno Orthopaedic Clinic Inc. | Physical Therapist | 1365 Medical Parkway, Carson City, NV 89703 | 2018-10-24 |
1265910970 | Marvel Dental Carson City, LLC | Clinic/Center | 410 Fleischmann Way Suite A., Carson City, NV 89703 | 2018-08-03 |
1619348489 | Nevada Health Centers Inc. | Clinic/Center | 618 W. Musser Street, Carson City, NV 89703 | 2015-10-19 |
1518351089 | Christopher Vlasek | Family Medicine | 412 W John St Ste B, Carson City, NV 89703 | 2015-03-23 |
1902215254 | Grant Vaughn Davis | Behavioral Analyst | 1316 Monte Rosa Drive, Carson City, NV 89703 | 2014-08-11 |
1437563152 | Nina Patynowski | Nurse Practitioner | 415 W Sofia St, Ste 100, Carson City, NV 89703 | 2014-06-20 |
1679853089 | Carson Tahoe Physician Clinics | Family Medicine | 1200 Moutain Street, Suite 220, Carson City, NV 89703 | 2011-08-17 |
1790094076 | Darlene Parrish | Occupational Therapy Assistant | 3050 N. Ormsby Bl, Carson City, NV 89703 | 2010-10-04 |
Find all providers in zip 89703 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275007270 | Theodore John Parento | Nurse Practitioner | 5500 Snyder Ave Bldg 17, Carson City, NV 89701-6752 | 2019-01-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689286361 | New Dawn Mh Reno Plc | Nurse Practitioner | 550 W Plumb Ln Ste B274, Reno, NV 89509-3468 | 2020-08-23 |
1801404074 | Ibukun Odutola | Nurse Practitioner | 2605 E Flamingo Rd, Las Vegas, NV 89121-5241 | 2020-07-14 |
1225652191 | Angela Beth Wilson | Nurse Practitioner | 5440 W Sahara Ave Ste 220, Las Vegas, NV 89146-0355 | 2020-06-05 |
1306468590 | Rain Down Blessings Inc | Nurse Practitioner | 401 Railroad St Ste 203, Elko, NV 89801-3760 | 2020-05-11 |
1104445394 | Universal Psychiatry LLC | Nurse Practitioner | 270 E Flamingo Rd Unit 122, Las Vegas, NV 89169-0325 | 2020-04-09 |
1952931271 | Paramount Healthcare Services Corp | Nurse Practitioner | 10141 Rockridge Peak Ave, Las Vegas, NV 89166-5200 | 2020-01-26 |
1275179657 | Sheena M Spanskie | Nurse Practitioner | 26 Via De Luccia, Henderson, NV 89074-6378 | 2019-11-21 |
1295385052 | Awaqen Psychiatry Pllc | Nurse Practitioner | 340 Falcon Ridge Pkwy Ste 603, Mesquite, NV 89027-8852 | 2019-09-13 |
1730642182 | Aban Medical Services | Nurse Practitioner | 10145 Eagle Haven St, Las Vegas, NV 89141-8781 | 2019-04-11 |
1295293850 | Salli J Vannucci | Nurse Practitioner | 2850 Soda Lake Rd, Fallon, NV 89406-5313 | 2019-03-03 |
Find all providers with the same taxonomy |
City | CARSON CITY |
Zip Code | 89703 |
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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.