MRS. CARLENE GORDON (NPI# 1649529025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649529025 |
| Entity Type | Individual |
| Full Name | MRS. CARLENE GORDON |
| Practice Address |
125 Olde Greenwich Drive Suite 220 Fredericksburg VA 22408-4010 |
| Mailing Address |
121 Courthouse Ln Bowling Green VA 22427-9336 |
| Practice Telephone | 5408988001 |
| Practice Fax Number | 5408982127 |
| Mailing Telephone | 8046335840 |
| Mailing Fax Number | 8046334438 |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2019-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024170186 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
125 OLDE GREENWICH DRIVE SUITE 220 |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22408-4010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285108340 | Embrace Foster Care, LLC | Foster Care Agency | 10705 Spotsylvania Avenue, Suite 101, Fredricksberg, VA 22408 | 2019-01-11 |
| 1730698689 | Raza N Syed | Driver | 12804 Willow Point Drive, Fredericksburg, VA 22408 | 2017-09-22 |
| 1184149122 | Eve Hope Pendletom | Driver | 2717 Francis Ct, Fredericksbrg, VA 22408 | 2017-08-10 |
| 1700316304 | Transcendent Truth Inc | Counselor | 2601 Wheatland Wood Drive, Fredericksburg, VA 22408 | 2017-06-15 |
| 1487047361 | Michele Neverdon | Counselor | 150 Olde Greenwich Dr Ste 211, Fredericksburg, VA 22408 | 2015-03-16 |
| 1073903688 | Shelby Jean Galloway | Radiology | 12709 Willow Pt. Dr., Fredericksburg, VA 22408 | 2015-02-03 |
| 1417355066 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 4543 Empire Ct, Fredericksburg, VA 22408 | 2014-12-15 |
| 1154726123 | Md Wellness and Health Center | Internal Medicine | 10518 Spotsylvania Ave, Suite 102, Fredericksburg, VA 22408 | 2014-11-03 |
| 1023358595 | Joyce Catherine Corbin Moya | Social Worker | 19003 Main Street, Fredericksburg, VA 22408 | 2013-02-21 |
| 1992063234 | Gustavo A Elias | Radiology | 10401 Spotsylvania Ave Ste 203, Fredericksburg, VA 22408 | 2012-04-24 |
| Find all providers in zip 22408 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922614049 | Christina Jolene Macfarlane | Nurse Practitioner | 6313 Forest Grove Dr, Fredericksburg, VA 22407-6343 | 2020-09-23 |
| 1912548876 | Carina Leite | Nurse Practitioner | 2306 Plank Rd Ste 100, Fredericksburg, VA 22401-4902 | 2019-10-02 |
| 1821643081 | Emily Torres | Nurse Practitioner | 621 Jefferson Davis Hwy Ste 201, Fredericksburg, VA 22401-4567 | 2019-08-05 |
| 1316468465 | Samantha Martin | Nurse Practitioner | 1975 Jefferson Davis Hwy, Fredericksburg, VA 22401-5298 | 2017-06-29 |
| 1568904399 | Michele Lyn Lattimer | Nurse Practitioner | 2601 Fall Hill Avenue, Fredericksburg, VA 22401 | 2016-11-10 |
| 1457757460 | Karen Julia Gardella | Nurse Practitioner | 3038 Patriot Ln, Fredericksburg, VA 22408-1728 | 2014-11-18 |
| 1144629734 | Amy Taylor | Nurse Practitioner | 1020 Hwy 16, Fredericksburg, TX 78624 | 2014-08-19 |
| 1801200357 | Brooke Renae Sparks | Nurse Practitioner | 10718 Ballantraye Dr., Fredericksburg, VA 22407 | 2014-06-12 |
| 1487096731 | Carol Elizabeth Drever | Nurse Practitioner | 1301 Sam Perry Boulevard (moss Free Clinic), Suite 100, Fredericksburg, VA 22401 | 2013-07-26 |
| 1104056233 | Teresa D Grow | Nurse Practitioner | 5004 Southpoint Pkwy, Fredericksburg, VA 22407-2660 | 2009-07-23 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22408 |
Please comment or provide details below to improve the information on MRS. CARLENE 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.