Chelsea Rae Gore

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1401 E 7TH St
Charlotte, NC 28204

Phone

(774) 644-6407

NPI assigned

Jan 18, 2018

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 names 1

• Chelsea Rae Foltz Former name

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": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1952819328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 STACK RD",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281128408",
            "telephone_number": "774-644-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E 7TH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28204",
            "telephone_number": "774-644-6407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "903 Stack Rd",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "28112",
            "country_code": "US",
            "telephone_number": "774-644-6407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "903 Stack Rd",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "28112",
            "country_code": "US",
            "telephone_number": "774-644-6407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORE",
        "first_name": "CHELSEA",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-18",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "FOLTZ",
            "middle_name": "RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah M. Gordon, LCSW
• Shayna Gordon
• Sherri L Gordon, PT
• Tyriss Iman Gordon, FNP
• Amara Calandra Gore, LCSWA
• John Benjamin Gore
• Emily Alana Gorelick
• Joshua Gorelick, LCMHC, LCAS-A
• Yuliya Gorelik, DDS
• Paul Gores

• Behavior Technician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Behavior Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.