CHERYL D GORDON (NPI# 1912253279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912253279 |
| Entity Type | Individual |
| Full Name | CHERYL D GORDON |
| Credential | FNP-C |
| Practice Address |
1406 Martin Luther King Dr Corpus Christi TX 78401-1700 |
| Mailing Address |
919 Hidden Rdg Irving TX 75038-3813 |
| Practice Telephone | 3618878811 |
| Practice Fax Number | 3618878874 |
| Mailing Telephone | 4692822711 |
| Mailing Fax Number | 4692820996 |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2017-01-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP122070 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 341510101 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154870152 | Cheryl Lynne Gordon | Midwife | 101 Oak Dr, Mabank, TX 75156-7155 | 2016-10-02 |
| 1285043661 | Cheryl Gordon | Dietitian, Registered | 9340 Warner Rd, Plain City, OH 43064-9475 | 2014-08-11 |
| 1972048643 | Cheryl G Gordon | Case Manager/Care Coordinator | 936 N Bon Marche Dr, Baton Rouge, LA 70806-2257 | 2017-01-04 |
| 1801230727 | Cheryl Angelynn Gordon | Nurse Practitioner | 3500 Gaston Ave, Dallas, TX 75246-2017 | 2013-04-22 |
| Street Address |
1406 MARTIN LUTHER KING DR |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78401-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598742355 | Lorenzo Martin | Internal Medicine | 1406 Martin Luther King Dr, Corpus Christi, TX 78401-1700 | 2005-12-22 |
| 1649725557 | Emily Abigail Miller | Nurse Practitioner | 1406 Martin Luther King Dr, Corpus Christi, TX 78401-1700 | 2016-08-20 |
| 1730107624 | Christus Spohn Family Health Center - Northside | Family Medicine | 1406 Martin Luther King Dr, Corpus Christi, TX 78401-1700 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003340639 | Post Acute Medical Rehabilitation Hospital of Corpus Christi, LLC | Rehabilitation Hospital | 345 S. Water St., Corpus Christi, TX 78401 | 2017-04-20 |
| 1578873287 | Ultima Medical Supply LLC | Contractor | 1231 Agnes St Ste A2, Corpus Christi, TX 78401 | 2010-10-15 |
| 1043541303 | Enrique Cisneros Ramos Jr. | Internal Medicine | 345 S Water St, Corpus Christi, TX 78401 | 2010-01-26 |
| 1417182924 | Kenpan Hu | Dentist | 4817 San Dario Avenue, Laredo, TX 78401 | 2009-05-28 |
| 1649321928 | Lighthouse Hospice-coastal Bend, LLC | Hospice Care, Community Based | 210 S Carancahua St Ste 200, Corpus Christi, TX 78401 | 2007-01-15 |
| 1649333774 | Baby Monitors Inc | Durable Medical Equipment & Medical Supplies | 711 N Carancahua St, Ste 512, Corpus Christi, TX 78401 | 2006-12-19 |
| 1184799322 | David Hirschman | Psychologist | 719 S Shoreline Blvd, Ste 400, Corpus Christi, TX 78401 | 2006-11-22 |
| 1487141909 | Rebecca Garcia | Specialist/Technologist | 800 N Shoreline Blvd Ste 700s, Corpus Christi, TX 78401 | 2018-04-19 |
| 1073964094 | Karen Spencer | Nurse Practitioner | 1201 Leopard St Fl 6, Corpus Christi, TX 78401 | 2016-06-30 |
| 1376930628 | Winlock Medical Surgical LLC | Physical Medicine & Rehabilitation | 1231 Agnes, Suite A-1, Corpus Christi, TX 78401 | 2015-04-23 |
| Find all providers in zip 78401 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079473 | Dean Salomon Garza | Nurse Practitioner | 4913 Valley Stream Dr, Corpus Christi, TX 78413-2443 | 2020-09-24 |
| 1689285587 | Catherine Kelley | Nurse Practitioner | 4141 S Staples St Ste 101, Corpus Christi, TX 78411-2115 | 2020-08-13 |
| 1093326167 | Faith Ebangha Mabo | Nurse Practitioner | 6405 Clairfield St, Corpus Christi, TX 78414-3520 | 2020-08-12 |
| 1821616111 | Mary Alice Browning-taylor | Nurse Practitioner | 4314 Platte River Dr, Corpus Christi, TX 78410-5721 | 2020-07-13 |
| 1699392969 | Marcel Marcelo | Nurse Practitioner | 7213 Spanish Wood Dr, Corpus Christi, TX 78414-6241 | 2020-07-02 |
| 1013539287 | Monica Isabel Olague | Nurse Practitioner | 117 W Vanderbilt Dr, Corpus Christi, TX 78415-4736 | 2020-05-11 |
| 1437786555 | Jennifer Vala | Nurse Practitioner | 5802 Saratoga Blvd Ste 120, Corpus Christi, TX 78414-4253 | 2020-03-26 |
| 1285260042 | Liza Nicole Sanchez | Nurse Practitioner | 3830 Andrea Ln, Corpus Christi, TX 78414-5800 | 2020-03-12 |
| 1154961084 | Lindsay Deanne Bray | Nurse Practitioner | 1625 Rodd Field Rd # 200, Corpus Christi, TX 78412-4926 | 2020-01-08 |
| 1174162713 | Angela Marie Stith | Nurse Practitioner | 15957 Punta Espada Loop, Corpus Christi, TX 78418-6626 | 2019-12-30 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78401 |
Please comment or provide details below to improve the information on CHERYL D 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.