Jaime Gordon

Primary specialty

TechnicianTaxonomy code 374700000X

License

4454 Issued in AZ

Practice address

16807 E Palisades Blvd Ste 101
Fountain Hills, AZ 85268-8438

Phone

(480) 765-2677

NPI assigned

Mar 26, 2014

Last updated

Mar 5, 2019By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Unique Lab Services, LLC

  • Clinical Medical Laboratory
  • Fountain Hills, AZ
  • NPI 1851636435
  NPD (past) Authorized official

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1720405962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16457 E BAINBRIDGE AVE",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852682721",
            "telephone_number": "602-725-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16807 E PALISADES BLVD STE 101",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852688438",
            "telephone_number": "480-765-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JAIME",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "AZ",
            "license": "4454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Godwin, PTA
• Katie Marie Golbeck, LCSW
• Natalie Gomez
• Alexa Jean Goodman
• Paul Joseph Goodman, PTA
• Esther C Gorgol
• Kristin Gorski, M.S.,CCC-SLP
• Monica Goudey
• Lisa T Graika, LCSW
• Helen Ann Grant

• Technician in Fountain Hills, AZ
• Providers in Fountain Hills, AZ by specialty
• Technician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.