Tina T Gordon, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN00106322 Issued in WA

Practice address

104 W 5TH Ave
Suite 205E
Spokane, WA 99204-4880

Phone

(509) 939-9722

NPI assigned

Jun 26, 2006

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

Enrolled in WA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Providence Health and Service- WashingtonGroup PAC ID 0840279758, 170 clinicians

Spokane Digestive Disease Center PSGroup PAC ID 3476447350, 39 clinicians

Dreamtime Anesthesia LLCGroup PAC ID 9537531082, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.73 of 100Reported as group

Quality

83.21

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

80.09 of 100Reported as group

Quality

67.04

Promoting interoperability

88

Improvement activities

40

Cost

76.61

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Dreamtime Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Spokane, WA
  • NPI 1275251456

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Spokane Digestive Disease Center, P.S.

  • Gastroenterology Physician
  • Spokane, WA
  • NPI 1699808873
  Medicare reassignment Care Compare group NPD
• Providence Health & Service- Washington

  • Anesthesiology Physician
  • Spokane, WA
  • NPI 1508118555
  Medicare reassignment Care Compare group
• Selkirk Anesthesia PLLC

  • Certified Registered Nurse Anesthetist
  • Airway Heights, WA
  • NPI 1902508666
  Medicare reassignment
• Anesthesia Solutions

  • Certified Registered Nurse Anesthetist
  • Spokane Valley, WA
  • NPI 1699704130

  Nurse Anesthetist, Certified Registered

  NPD (past) Authorized official
• Wa Spok VH Crna LLC

  • Certified Registered Nurse Anesthetist
  • Spokane Valley, WA
  • NPI 1285884585

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497782528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8626",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992030626",
            "telephone_number": "509-939-9722",
            "fax_number": "509-228-9542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W 5TH AVE",
            "address_2": "SUITE 205E",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992044880",
            "telephone_number": "509-939-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "TINA",
        "middle_name": "T",
        "name_prefix": "Miss",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "RN00106322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9624115",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gordon K Mackenzie MD PS
• Bradley Gene Gordon, PHARMD
• Desiree A Gordon, MS AGENCY AFFILIATED
• Mark Steven Gordon, MD
• Shelby Mae Gordon, PT, DPT
• Debra R Gore, M.D.
• Carol A Goree, NAR
• Matthew T Gores, PT
• Thair Gorgees
• Ennessa Ivy Gorkovchenko, PA-C

• Certified Registered Nurse Anesthetist in Spokane, WA
• Providers in Spokane, WA by specialty
• Certified Registered Nurse Anesthetist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.