NPIMap

Individual provider Active NPI

Tameah Breona Gordon, BS

  • Case Manager/Care Coordinator
  • Flint, MI
National Provider Identifier
1841440484
Registry record updated Sep 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
6803085309 Issued in MI
Practice address
2811 E Court St
Suite F
Flint, MI 48506-4054
Phone
(810) 232-0461
Fax
(810) 232-6510
NPI assigned
Sep 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 6803085309 MI Primary

Addresses

Primary practice location

2811 E Court St
Suite F
Flint, MI 48506-4054

Mailing address

2811 E Court St
Suite F
Flint, MI 48506-4054
Phone (810) 232-0461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
6803085309MIMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Training & Treatment Innovations, Inc. Past Accepting new patients
Training and Treatment Innovations Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221782400000",
    "number": "1841440484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 E COURT ST",
            "address_2": "SUITE F",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485064054",
            "telephone_number": "810-232-0461",
            "fax_number": "810-232-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 E COURT ST",
            "address_2": "SUITE F",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485064054",
            "telephone_number": "810-232-0461",
            "fax_number": "810-232-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "TAMEAH",
        "middle_name": "BREONA",
        "name_prefix": "Ms.",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-19",
        "last_updated": "2008-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MI",
            "license": "6803085309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; 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.