Alyssa Gordon, DNP, FNP-BC, CNL

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209019777 Issued in IL

Practice address

310 W Chicago Ave
Chicago, IL 60654-5106

Phone

(453) 530-2725

NPI assigned

Aug 2, 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

Enrolled in IL

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Gordon Health Inc

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1245040799
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1679247993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 W GRAND AVE APT 1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606426318",
            "telephone_number": "847-650-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545106",
            "telephone_number": "453-530-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "ALYSSA",
        "credential": "DNP, FNP-BC, CNL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209019777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gordon Family Chiropractic, L.L.C.
• Gordon H Derman MD SC
• Gordon Health Inc
• Tevis Jerome Gordon-Crawford, NP
• Zyra Donnaniece Gordon-Smith, DNP, APN, CS-FNP
• Amanda B Gordon, LCPC, CD(DONA)
• Andrew Aldeen Gordon, M.D.
• Andrew C Gordon, MD, PHD
• Anna Gordon
• Anne I. Gordon, D.C.

• Family Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.