Penny Elaine Gore, RN

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

License

555439 Issued in TX

Practice address

1101 S Main St
Ft Worth, TX 76104-4802

Phone

(817) 321-4700

NPI assigned

Sep 11, 2013

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1558796375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 PRESIDENTIAL DR",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760310303",
            "telephone_number": "682-472-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S MAIN ST",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761044802",
            "telephone_number": "817-321-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORE",
        "first_name": "PENNY",
        "middle_name": "ELAINE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "TX",
            "license": "555439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kooper Gordon, LCSW
• Lori Lynn Gordon, MD
• Raegan Mackenzie Gordon
• Shirley Gordon, RRT
• William Edward Gordon, MD
• David Keith Gorman, RNFA
• Georgia Remi Gorman, MS, CCC-SLP
• Kathy Jean Gorman, AUD, CCC-A
• Lori A Gorman, S.L.P.
• Rebecca Gorman, LPC ASSOCIATE

• State or Local Public Health Clinic/Center in Ft Worth, TX
• Providers in Ft Worth, TX by specialty
• State or Local Public Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.