Alexa J Gordon, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

056355-23 Issued in NH

Practice address

178 Farmington Rd
Rochester, NH 03867-4352

Phone

(603) 332-1133

NPI assigned

Nov 23, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Alexa J McInnis Former name

Medicare fee-for-service enrollment

Enrolled in NH

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 1

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cornerstone VnaGroup PAC ID 4981619988, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cornerstone Vna

  • Home Health Agency
  • Rochester, NH
  • NPI 1508829045

  NH

  Medicare reassignment Care Compare group NPD
• Cornerstone Vna

  • Community Based Hospice Care Agency
  • Rochester, NH
  • NPI 1235433236
  Care Compare group NPD
• Medoptions of Massachusetts LLC

  • Psychiatry Physician
  • Boston, MA
  • NPI 1053527028
  NPD (past)

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1962779686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 FARMINGTON RD",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038674352",
            "telephone_number": "603-332-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 FARMINGTON RD",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038674352",
            "telephone_number": "603-332-1133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Langley Rd",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "MA",
            "postal_code": "024591972",
            "country_code": "US",
            "telephone_number": "800-370-3651",
            "fax_number": "860-510-0020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "ALEXA",
        "middle_name": "J",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-23",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN277741",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "056355-21",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "056355-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXA",
            "last_name": "MCINNIS",
            "middle_name": "J",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Gisis, PHARM D.
• Jacqueline Dee Godin
• Olivia Goff
• Renee Laurion Goodspeed, D.D.S.
• Jay B. Gooze, M.D.
• Lea A. Gottfredsen
• Grace Behavioral Therapy and Consulting
• Granite State Express Care LLC
• Granite State Lab LLC
• Elaine Graper

• All providers in Rochester, NH
• Family Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.