Heather R Gourdin, ARNP

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

036635-23 Issued in NH

Practice address

80 Highland Street
Laconia, NH 03246-3235

Phone

(603) 524-5151

Fax

(603) 527-7184

NPI assigned

May 21, 2007

Last updated

Nov 24, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1588872576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1327",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032471327",
            "telephone_number": "603-524-3211",
            "fax_number": "603-527-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HIGHLAND STREET",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463235",
            "telephone_number": "603-524-5151",
            "fax_number": "603-527-7184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOURDIN",
        "first_name": "HEATHER",
        "middle_name": "R",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "NH",
            "license": "036635-23",
            "primary": true
        },
        {
            "code": "364SN0000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Neonatal",
            "state": "AZ",
            "license": "AP4716",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003143602B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010583800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coryleen B Gilbert, PT, MS, DPT
• Allison Gladden, OTR/L
• Celyne Godbout
• Kimberly Goldberg, MS
• Lara Jo Gordon, COTA/L
• Michelle Lee Gouveia, P.T.A.
• Steven Hollis Gove, PHARMACIST
• Heidi Goyette
• Raven Elizabeth Grady, MS OTR/L
• Erica Ashley Grande, BA

• Neonatal Nurse Practitioner in Laconia, NH
• Providers in Laconia, NH by specialty
• Neonatal Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.