Tracy Lee Gordon

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

401096730610 Issued in OH

Practice address

333 E. College St
Alliance, OH 44601

Phone

(234) 521-2363

NPI assigned

Jan 30, 2015

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

Other identifiers 1

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": "1422576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422576000000",
    "number": "1689064529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E COLLEGE ST",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446014320",
            "telephone_number": "234-521-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E. COLLEGE ST",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "44601",
            "telephone_number": "234-521-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "TRACY",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "401096730610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0113868",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Compton Sharma Girdharry, M.D
• Allie K Goldy
• Matthew S Gooch, CNP
• Kelsey Gorcheff, LSP
• Barbara Jean Gordon, STNA
• Miriam A Gortney, CPSTP
• Allen Charles Green, D.D.S.
• Hannah Greene
• Daniel J Greenfield, M.D.
• Jena Greenwald

• Home Health Aide in Alliance, OH
• Providers in Alliance, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.