STEPHANIE VICKY GORDON (NPI# 1629376835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629376835 |
| Entity Type | Individual |
| Full Name | STEPHANIE VICKY GORDON |
| Credential | LMT |
| Practice Address |
2874 Shelby St Suite 108 Bartlett TN 38134-4579 |
| Practice Telephone | 9014510663 |
| Practice Fax Number | 9014661121 |
| Mailing Telephone | 9014510663 |
| Mailing Fax Number | 9014661121 |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2011-03-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 8591 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578970968 | Stephanie Gordon | Specialist/Technologist | 198 Heather Dr, Central, SC 29630-9308 | 2014-07-17 |
| 1619309945 | Stephanie Jean Gordon | Acupuncturist | 410 Wabash St, Michigan City, IN 46360-3334 | 2013-08-09 |
| 1750516159 | Stephanie Spurlock Gordon | Dental Hygienist | 1245 Nw 119th St, Miami, FL 33167-3231 | 2009-05-29 |
| 1366564288 | Stephanie Ward Gordon | Pharmacist | 7880 Winn Rd, Spring Grove, IL 60081-9687 | 2007-04-03 |
| 1407849722 | Stephanie H Gordon | Obstetrics & Gynecology | 2750 Owens Rd Sw, Suite A, Conyers, GA 30094-3991 | 2005-08-23 |
| 1386121366 | Stephanie Gordon | Dentist | 736 E Oak St, Oakland, MD 21550-1615 | 2018-07-23 |
| 1356864110 | Stephanie Christine Gordon | Licensed Practical Nurse | 2216 20th St, Zion, IL 60099-1648 | 2017-07-24 |
| 1174992127 | Stephanie Gordon | Advanced Practice Midwife | 611 W Park St, Urbana, IL 61801-2529 | 2015-09-21 |
| 1003234840 | Stephanie Gordon | Social Worker | 1900 S Acadian Thruway, Baton Rouge, LA 70808-1665 | 2014-03-30 |
| 1841500840 | Stephanie Marie Gordon | Behavioral Analyst | 4343 Williamsbourgh Dr, Sacramento, CA 95823-2006 | 2010-10-12 |
| Street Address |
2874 SHELBY ST SUITE 108 |
| City | BARTLETT |
| State | TN |
| Zip Code | 38134-4579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720423155 | Caring Hearts Transportation | Non-emergency Medical Transport (VAN) | 2874 Shelby St, Suite 202, Bartlett, TN 38134-4579 | 2013-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839313 | Tiffany Catrell Williams | Technician | 5312 Yellowood Road, Memphis, TN 38134 | 2020-01-02 |
| 1225676489 | Sandra Kay Branch | Technician | 2010 Joe Brooks Dr, Memphis, TN 38134 | 2019-12-18 |
| 1780151092 | Stephen R Hadley | Pharmacist | 3090 Kirby Whitten Rd, Bartlett, TN 38134 | 2018-10-25 |
| 1760962450 | Delta Transportation Services | Non-emergency Medical Transport (VAN) | 2856 Alfaree St, Bartlett, TN 38134 | 2018-08-21 |
| 1013409853 | Chosen Vessel Ministries | Clinic/Center | 6551 Stage Oaks Drive, Suite 4, Bartlett, TN 38134 | 2018-06-06 |
| 1710495858 | Lifetech Ambulance, LLC | Ambulance | 2874 Shelby St Ste 150, Bartlett, TN 38134 | 2018-01-10 |
| 1144744459 | Robin Coughlin | Counselor | 6553 Honeybrook Rd., Memphis, TN 38134 | 2017-07-28 |
| 1174047484 | Shannon Eric Overley | Behavioral Analyst | 5909 Shelby Oaks Drive Suite #100, Memphis, TN 38134 | 2017-07-28 |
| 1063881928 | Nursing Solutions | Nursing Care | 4311 Fiske Valley Drive, Memphis, TN 38134 | 2015-09-22 |
| 1821479254 | Mid-south Healthnet | Community Based Residential Treatment Facility, Mental Illness | 5909 Shelby Oaks Drive Suite 100, Memphis, TN 38134 | 2015-06-11 |
| Find all providers in zip 38134 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518303346 | Austin R. Hopkins | Massage Therapist | 944 Sandpiper Ct, Bartlett, IL 60103-4849 | 2013-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730788274 | Gary Justin Farr | Massage Therapist | 978 Fred Ford Rd, Crossville, TN 38571-0261 | 2020-10-24 |
| 1548868078 | Brian Christopher Covington | Massage Therapist | 93 Weakley Ln Apt B20, Smyrna, TN 37167-4368 | 2020-10-16 |
| 1598363012 | Derrick Dewayne Crawford | Massage Therapist | 4701 Old Hickory Blvd Apt C202, Old Hickory, TN 37138-2073 | 2020-10-16 |
| 1003414293 | Jack Weair Wooten Jr. | Massage Therapist | 2612 W Heiman St Apt D38, Nashville, TN 37208-1818 | 2020-10-12 |
| 1982211421 | Jason Joseph | Massage Therapist | 173 Whitman Aly, Clarksville, TN 37043-6340 | 2020-09-29 |
| 1992312987 | Louise Thackston Rikard | Massage Therapist | 483 Russell Hill Rd, Speedwell, TN 37870-7161 | 2020-09-24 |
| 1275149320 | Zachary Reagan Riddle | Massage Therapist | 206 Copper Ridge Trl, Rockvale, TN 37153-4655 | 2020-09-23 |
| 1497361729 | Marie C Anderson | Massage Therapist | 3157 Skinner Dr, Antioch, TN 37013-3965 | 2020-09-22 |
| 1982210340 | Ashley Hiatt | Massage Therapist | 514 Peach Creek Cres, Nashville, TN 37214-3351 | 2020-09-21 |
| 1922613587 | Tina Marie Bridges Byaridge | Massage Therapist | 300 E Vine St, Murfreesboro, TN 37130-4248 | 2020-09-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on STEPHANIE VICKY GORDON.
| 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.