Teri C Gore, APRN FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3008616 Issued in KY

Practice address

312 S 4TH St Ste 700
Louisville, KY 40202-3046

Phone

(502) 804-5495

Fax

(833) 563-1715

NPI assigned

Jun 12, 2014

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY, IN, VA, OH4 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 4

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Post Acute Telehealth PCGroup PAC ID 9638585391, 63 clinicians

Signal Health IncGroup PAC ID 9234436957, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Hoover, AL, CCN 017009
• UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25953/brand/1/csg/1/fhir/r4
• Direct secure messaging: teri.gore.1@25953.direct.athenahealth.com
• Direct secure messaging: tgore20259@direct.nortonhealthcare.org

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.

• Signal Health Inc.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1902271661
  Medicare reassignment Care Compare group NPD
• Post Acute Telehealth PC

  • Family Medicine Physician
  • Blue Ash, OH
  • NPI 1164011185

  IN, VA

  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Uofl Health-Louisville Inc

  • Rehabilitation Hospital Unit
  • Louisville, KY
  • NPI 1013784859
  Care Compare affiliation
• Uofl Health-Louisville Inc

  • Rehabilitation Hospital Unit
  • Louisville, KY
  • NPI 1033752704
  Care Compare affiliation
• Uofl Health-Louisville Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1093341497
  Care Compare affiliation
• Uofl Health-Louisville Inc

  • Rehabilitation Hospital Unit
  • Louisville, KY
  • NPI 1104469873
  Care Compare affiliation
• Uofl Health-Louisville Inc

  • Rehabilitation Hospital Unit
  • Louisville, KY
  • NPI 1114591039
  Care Compare affiliation
• Uofl Health-Louisville Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1124654512
  Care Compare affiliation
• Uofl Health-Louisville Inc

  • Rehabilitation Hospital Unit
  • Louisville, KY
  • NPI 1124661897
  Care Compare affiliation
• Uofl Health-Louisville Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1144856543
  Care Compare affiliation
• Uofl Health-Louisville Inc

  • Rehabilitation Hospital Unit
  • Louisville, KY
  • NPI 1376310110
  Care Compare affiliation
• Uofl Health-Louisville Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1477189876
  Care Compare affiliation
• Uofl Health-Louisville Inc

  • Rehabilitation Hospital Unit
  • Louisville, KY
  • NPI 1477196145
  Care Compare affiliation
• Uofl Health-Louisville Inc

  • General Acute Care Hospital
  • Lousiville, KY
  • NPI 1588290993
  Care Compare affiliation

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1841604360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 S 4TH ST STE 700",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023046",
            "telephone_number": "502-804-5495",
            "fax_number": "833-563-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 S 4TH ST STE 700",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023046",
            "telephone_number": "502-804-5495",
            "fax_number": "833-563-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORE",
        "first_name": "TERI",
        "middle_name": "C",
        "credential": "APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-12",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100371210",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "teri.gore.1@25953.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "312 S 4th St Ste 700",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402023046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Keemah Gordon
• Thomas Gordon III
• Imani Tre'Nai Gore-Blevins, RBT
• Anthony C Gore, LCSW
• Jena Gore, LCSW
• Camille Gorena
• Collette Gorga, MD STUDENT
• Gorham Counseling and Wellness, LLC
• Chelsey Layne Gorham
• Mary B. Gorin, M.ED., CCC/SLP

• Family Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.