Rosie Marie Gourdine, PHLEBOTOMIST

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

890779 Issued in MN

Practice address

2046 Kings Rd
Eagan, MN 55122-2319

Phone

(551) 226-2127

NPI assigned

May 27, 2021

Last updated

May 27, 2021By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1801462288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2046 KINGS RD",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222319",
            "telephone_number": "551-226-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2046 KINGS RD",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222319",
            "telephone_number": "551-226-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOURDINE",
        "first_name": "ROSIE",
        "middle_name": "MARIE",
        "credential": "PHLEBOTOMIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "MN",
            "license": "890779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rosiew@true-collect.com",
            "affiliation": "N",
            "endpointDescription": "rosiew@true-collect.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2046 Kings Rd",
            "city": "Eagan",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551222319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eli Justin Goodman
• April A. Gordon, NP
• Linda Kamstra Gordon, M.A., L.P., L.A.D.C.
• Erica Gores, LAMFT
• Stephen T Gott, MD
• Julienna Danielle Graf
• Rebecca Graffdahl
• Grand St Paul CVS LLC (CVS Pharmacy #06715)
• Grand St Paul CVS LLC (CVS Pharmacy #16138)
• Matthew William Grange, O.D.

• Phlebotomy Technician in Eagan, MN
• Providers in Eagan, MN by specialty
• Phlebotomy Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.