Angela P Gore, NURSE PRACTITIONER

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

71598APO4777 Issued in LA

Practice address

501 Medical Center Dr
Suite 3a
Alexandria, LA 71301-8124

Phone

(318) 484-3899

Fax

(318) 484-3887

NPI assigned

Aug 23, 2006

Last updated

Feb 2, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: angela.gore.2@22920.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shahid Mansoor MD, Apmc

  • Pediatrics Physician
  • Alexandria, LA
  • NPI 1700981792
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1205942844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 STILLEY RD",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713605933",
            "telephone_number": "318-484-3401",
            "fax_number": "318-484-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MEDICAL CENTER DR",
            "address_2": "SUITE 3A",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018124",
            "telephone_number": "318-484-3899",
            "fax_number": "318-484-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORE",
        "first_name": "ANGELA",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": "71598APO4777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454877",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irina A Gordey, MD
• Gordon Ellis White MD,LLC
• Charlamonte L Gordon, RSW, M.ED, LPC
• Mechel Gordon
• Lyda Carol Gore Hirchak, NP
• Kelsey Gore
• Tamara Denise Gorham, M.S., CCC-SLP
• Grace Gosserand
• John L Gosserand, MD
• Courtney N Goudeau, CRNA

• Pediatric Nurse Practitioner in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Pediatric Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.