Pamela Davidson-Gordon

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

RN9177164 Issued in FL

Practice address

23 Wagon Cir
Kissimmee, FL 34743-7731

Phone

(407) 234-4670

NPI assigned

Sep 3, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Healing Hearts Staffing & Home Health Agency, LLC

  • Home Health Agency
  • Kissimmee, FL
  • NPI 1831766435
  NPD Authorized official

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1356019277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WAGON CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347437731",
            "telephone_number": "407-234-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WAGON CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347437731",
            "telephone_number": "407-234-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON-GORDON",
        "first_name": "PAMELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "RN9177164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Dasta Gonzalez
• Deidra Daughma, DPT
• Joel David Ortega
• Alejandra Micaela David, MD
• Anitta Susan David
• Sarah Davies, M.S. CCC-SLP
• Nayda Ivelisse Davila Fuentes, SLPA
• Grace Davila, MSW
• Luis Eduardo Davila, M.A
• Lenora Seed Davis, MSW, LCSW

• Home Health Registered Nurse in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Home Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; 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.