Narda Gabriela Gordillo, B.S.

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Practice address

808 Main St E
Menomonie, WI 54751-2735

Phone

(715) 231-2723

Fax

(715) 232-5987

NPI assigned

Oct 20, 2009

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

Credentials

Bachelor of Science

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.

• County of Dunn

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Menomonie, WI
  • NPI 1588667406
  NPD (past)

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1811223209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 MAIN ST E",
            "address_2": "PO BOX 470",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512735",
            "telephone_number": "715-231-2723",
            "fax_number": "715-232-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 MAIN ST E",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512735",
            "telephone_number": "715-231-2723",
            "fax_number": "715-232-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDILLO",
        "first_name": "NARDA",
        "middle_name": "GABRIELA",
        "name_prefix": "Mrs.",
        "credential": "B.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-20",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Rene Gilbertson, CPHT
• Gerald James Gilliland, ANP
• Kallie Renee Girdeen, APSW, MSW, IDP-AT
• Alison J. Glapa, C.R.N.A.
• Tammy F Goldsmith, CMT
• Jendra Andrew Gosai, M.D.
• April Graese, OTR/L
• Marissa Ann Gramoll, MS
• Tracy Renee Grant, BA
• Carl Green, CRNA

• Day Training/Habilitation Specialist in Menomonie, WI
• Providers in Menomonie, WI by specialty
• Day Training/Habilitation Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.