Thelma Agatha Gordon, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1063282 Issued in FL

Practice address

951 SW 98TH Ave
Pembroke Pines, FL 33025-3697

Phone

(954) 443-4902

Fax

(954) 443-4902

NPI assigned

Nov 3, 2008

Last updated

Nov 3, 2008By the provider in NPPES

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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Luis Hines & Associates, PA

  dba Luis Hines and Associates PA

  • Mental Health Counselor
  • Coral Gables, FL
  • NPI 1558357475

  Psychiatric/Mental Health

  NPD
• O Yes Medical Services Inc.

  • Specialist
  • North Miami, FL
  • NPI 1215912985
  NPD (past)

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225670400000",
    "number": "1598918609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 SW 98TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330253697",
            "telephone_number": "954-443-4902",
            "fax_number": "954-443-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 SW 98TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330253697",
            "telephone_number": "954-443-4902",
            "fax_number": "954-443-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "THELMA",
        "middle_name": "AGATHA",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-03",
        "last_updated": "2008-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "1063282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Gordon-Brown, DMD
• Cleopatra T Gordon-Pusey, M.D.
• Dainielle Petrina Gordon, DPT
• Lynn Gordon, RCSWI
• Robert David Gordon, DC
• Emily Gore, APRN
• Ana Paula Gorgoll Fernandez
• Jeffrey Gorley
• Michael Andrew Gorman, D.M.D.
• Ashley Gortler, OTR/L

• Psychiatric/Mental Health Nurse Practitioner in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.