Tunisa Gordon-Donely

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Practice address

3859 SW 100TH St
Ocala, FL 34476-4191

Phone

(352) 512-7527

NPI assigned

Jan 20, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1962092296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3859 SW 100TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344764191",
            "telephone_number": "352-512-7527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3859 SW 100TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344764191",
            "telephone_number": "352-512-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON-DONELY",
        "first_name": "TUNISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261QD1600X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Levonda Katrell Goodson, LPN
• Christina Bates Goodwin, PAC
• Kanagalingam Gopalan, M.B.B.S
• Sreeja Gopidasan, MD
• Gordon M Johnson Arnp, LLC
• Marcey Gordon
• Regina Gordon, DOULA
• Stanley Mark Gordon, DDS
• Steven R. Gordon, PT
• Syrillie Gordon

• Developmental Disabilities Clinic/Center in Ocala, FL
• Providers in Ocala, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.