Alice Hodgson Gordon, A.P.N.

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

209001374 Issued in IL

Practice address

2550 N. Annie Glidden Rd
Family Planning Clinic
Dekalb, IL 60115-1207

Phone

(815) 748-2420

Fax

(815) 748-2478

NPI assigned

Oct 3, 2008

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

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222992000000",
    "number": "1902057342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31189 E. 300 NORTH RD",
            "city": "STRAWN",
            "state": "IL",
            "postal_code": "617754095",
            "telephone_number": "815-688-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 N. ANNIE GLIDDEN RD",
            "address_2": "FAMILY PLANNING CLINIC",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601151207",
            "telephone_number": "815-748-2420",
            "fax_number": "815-748-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "ALICE",
        "middle_name": "HODGSON",
        "name_prefix": "Ms.",
        "credential": "A.P.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-03",
        "last_updated": "2008-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": "209001374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridgett Liz Golz
• Bianca Gomez
• Sandra Luz Gonzalez, MFT
• Amber Gonzaque, CRSS
• Kyle Preston Goodwin, LCPC
• William Goreth
• John D Gorman
• Christopher Joseph Gough, LCPC
• Haley Ranae Goulson, PA-C
• Kristen Elizabeth Govig, APRN, CNP

• Women's Health Nurse Practitioner in Dekalb, IL
• Providers in Dekalb, IL by specialty
• Women's Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.