Jonathan Gordon, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP138312 Issued in TX

Practice address

1419 Grande Mesa Dr
Georgetown, TX 78626-7079

Phone

(512) 589-4599

NPI assigned

Aug 1, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Emergency Associates of Central Texas PA

  • Emergency Medicine Physician
  • Killeen, TX
  • NPI 1215418280
  Medicare reassignment NPD
• Longhorn Emergency Medical Associates PA

  • Emergency Medicine Physician
  • Austin, TX
  • NPI 1649669672
  Medicare reassignment NPD
• Dispatchhealth-Texas P a

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1649787896
  NPD
• Virtualcare Medical Group of NV-Feng PC

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1962199679
  NPD
• Virtualcare Medical Group PA

  • Family Medicine Physician
  • Gaithersburg, MD
  • NPI 1194308809
  NPD
• Virtualcare Medical Services of Ny PC

  • Family Medicine Physician
  • New York, NY
  • NPI 1992458996
  NPD
• Dispatchhealth-Texas P a

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1538661830
  NPD (past)

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1538647698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 GRANDE MESA DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267079",
            "telephone_number": "512-589-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 GRANDE MESA DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267079",
            "telephone_number": "512-589-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JONATHAN",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "TX",
            "license": "841626",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheryl Anne Goodman, LPC
• Julie J Goodson
• Janine Goodwin, RN
• Mithula Rao Gopalam
• Denise Ann Gordon, MSW
• Victoria Gorena
• Olivia Claire Gorham, PT, DPT
• Got Ur Back Chiropractic, PLLC
• Grace Anchor LLC
• Grace M Salone, OD, PLLC

• Family Nurse Practitioner in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.