Robin Senise Gordon

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

906861 Issued in MS

Practice address

600 N 7TH St
West Memphis, AR 72301-3235

Phone

(870) 394-7100

NPI assigned

Aug 9, 2024

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 MS, TN2 enrollments

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 2

Specialty

Nurse Practitioner

Education

University of Tennessee, HSC, College of Medicine, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.yourcareuniverse.net/tenant/f327cec7-4de5-4375-82d1-b7722f053133

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.

• Progressive Health of Houston, LLC

  • Rural Acute Care Hospital
  • Houston, MS
  • NPI 1639936396

  MS

  Medicare reassignment NPD
• Quitman Community Hospital

  • Critical Access Hospital
  • Marks, MS
  • NPI 1063177228

  MS

  Medicare reassignment NPD
• River Region Psychiatry Associates LLC

  • Psychiatry Physician
  • Montgomery, AL
  • NPI 1386891497

  MS, TN

  Medicare reassignment NPD
• Strategic Solutions-Panola Medical Center LLC

  • Rural Health Clinic/Center
  • Batesville, MS
  • NPI 1700349222

  MS

  Medicare reassignment NPD
• Woodridge of West Memphis, LLC

  • Psychiatric Hospital
  • West Memphis, AR
  • NPI 1134521685
  NPD
• Quitman Community Hospital

  • Psychiatric Hospital Unit
  • Marks, MS
  • NPI 1841055308
  NPD
• Strategic Solutions-Panola Medical Center LLC

  • Rural Acute Care Hospital
  • Batesville, MS
  • NPI 1053873307
  NPD
• Strategic Solutions-Panola Medical Center LLC

  • Rural Health Clinic/Center
  • Batesville, MS
  • NPI 1366905028
  NPD
• Woodridge Northeast, LLC

  • Psychiatric Residential Treatment Facility
  • West Memphis, AR
  • NPI 1134305436
  NPD (past)

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1770314973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N 7TH ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N 7TH ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013235",
            "telephone_number": "870-394-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "ROBIN",
        "middle_name": "SENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "906861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Goode Communications, Etc.,Inc
• Sharon B Goode, MSP
• Fredisha Manning Goodfellow, D.M.D
• David Aaron Goodman, MD
• Atesia Gordon
• Graham Primary Healthcare
• Tracie Renee Graham, O.T.
• Tameka Granberry, LCSW
• Ann Collins Grant, MSRDLD
• Jennie Grant, MHPP

• All providers in West Memphis, AR
• Psychiatric/Mental Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.