Jamie Gore

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

8674 Issued in MN

Practice address

6515 Barrie Rd
Edina, MN 55435-2363

Phone

(952) 920-5663

NPI assigned

Oct 20, 2021

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1558024216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 CHERRY ST E",
            "city": "MAZEPPA",
            "state": "MN",
            "postal_code": "559563014",
            "telephone_number": "651-214-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 BARRIE RD",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352363",
            "telephone_number": "952-920-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORE",
        "first_name": "JAMIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "8674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Rosenthal Goodman, M.D.
• Vladimir Aleksandrovich Gordeyev, MS, LMFT
• Joseph John Gordon, CRNA
• Kyia Gordon
• Lakesha Gordon, CPT
• Matthew William Gorman, M.D.
• Emma Gorski
• Jennifer Gorton
• Joan Marie Gosen, RN, CNP
• Richard Bruce Gosen, MD

• Family Nurse Practitioner in Edina, MN
• Providers in Edina, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.