COURTNEY RAE GORDON (NPI# 1891312948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891312948 |
| Entity Type | Individual |
| Full Name | COURTNEY RAE GORDON |
| Other Name | COURTNEY RAE HOUSTON |
| Credential | NP |
| Practice Address |
601 Highway 80 E Clinton MS 39056-5122 |
| Mailing Address |
1400 Meadowbrook Rd Jackson MS 39211-6305 |
| Practice Telephone | 6017081480 |
| Practice Fax Number | 6017081490 |
| Mailing Telephone | 6017073279 |
| Enumeration Date | 2020-07-05 |
| Last Update Date | 2020-07-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 903982 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710110507 | Courtney Marie Gordon | Pharmacist | 14 Gordon Way, Rockville, RI 02873-0176 | 2009-08-27 |
| 1437501582 | Courtney Gordon | Registered Nurse | 455 W Montana St, Pasadena, CA 91103-1327 | 2016-07-12 |
| 1699916643 | Courtney Gordon | Nurse Practitioner | 3333 California St, Suite 380, San Francisco, CA 94118-1981 | 2009-03-19 |
| 1184863342 | Courtney Gordon | Physician Assistant | 3810 E Grand Ave, Laramie, WY 82070-5179 | 2009-02-11 |
| 1508066184 | Courtney Gordon | Marriage & Family Therapist | 303 Jackson Hill St, Houston, TX 77007-7407 | 2007-07-20 |
| Street Address |
601 HIGHWAY 80 E |
| City | CLINTON |
| State | MS |
| Zip Code | 39056-5122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376012724 | John Melvin Goolsby Jr. | Dentist | 457 Highway 80 East, Clinton, MS 39056 | 2018-11-15 |
| 1225534530 | Magnolia Allergy Clinic LLC | Internal Medicine | 402 Cynthia St Ste E, Clinton, MS 39056 | 2018-04-04 |
| 1578093704 | Melinda A Weisenberger | Specialist/Technologist | 4600 W Northside Drive, Clinton, MS 39056 | 2017-06-20 |
| 1962859702 | Telehealthone, LLC | Nurse Practitioner | 200 Clinton Plaza, Clinton, MS 39056 | 2016-05-23 |
| 1841686581 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 132 Fairmont Street, Suite B, Clinton, MS 39056 | 2015-04-09 |
| 1023412822 | Rebecca Brooks Prewitt | Social Worker | 130 B Fairmont Street, Clinton, MS 39056 | 2014-10-22 |
| 1396184149 | Robert Joseph Hargis | Urology | 116 Afton Way, Clinton, MS 39056 | 2013-06-14 |
| 1750626321 | Clinton Dental Care, Inc. | Dentist | 736 Clinton Pkwy, Clinton, MS 39056 | 2012-12-07 |
| 1922394469 | Daphenia C. Knight Starling | Nurse Practitioner | Clinton Healthcare, 1251 Pinehaven Rd, Clinton, MS 39056 | 2011-06-23 |
| 1134443385 | Gwendolyn Coleman Garror | Pharmacist | 132 Fairmount Drive, Clinton, MS 39056 | 2010-03-17 |
| Find all providers in zip 39056 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053955005 | Ashley Marie James | Nurse Practitioner | 3400 Anamosa Rd, Clinton, IA 52732-9700 | 2019-11-03 |
| 1831745041 | Meghan L Matthews | Nurse Practitioner | 618 W Jefferson St, Clinton, IL 61727-1942 | 2019-08-13 |
| 1952874315 | Brandy Ann Chisholm | Nurse Practitioner | 919 4th Ave S, Clinton, IA 52732-5566 | 2019-01-09 |
| 1013485358 | Clinton Medical and Urgent Care LLC | Nurse Practitioner | 9009 Woodyard Rd Ste 101, Clinton, MD 20735-4268 | 2018-11-05 |
| 1407336548 | Candice M Ogle | Nurse Practitioner | 2681 Andersonville Hwy Ste 102, Clinton, TN 37716-6706 | 2018-08-17 |
| 1770009656 | Brittni Sioux Cook | Nurse Practitioner | 1154 N 600 W, Clinton, UT 84015-9433 | 2017-08-22 |
| 1730530692 | Sherlene Elane Blackwood | Nurse Practitioner | 360 County Complex Rd Ste 200, Clinton, NC 28328-4846 | 2016-06-22 |
| 1598112583 | Alanda James | Nurse Practitioner | 192 Kelly Dr, Clinton, MS 39056-3062 | 2016-05-19 |
| 1700936275 | Laurie L. Callan,nurse Pracitioner,llc | Nurse Practitioner | 250 S 14th St, Clinton, IA 52732-5435 | 2007-01-10 |
| 1861575045 | Frankie Lynette Britt | Nurse Practitioner | 1021 Beaman St, Clinton, NC 28328-2343 | 2006-10-23 |
| Find all providers in CLINTON | ||||
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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.