| Mrs Danielle Alexis Gordon, FNP | |
|
705 Palm Ave, Imperial Beach, CA 91932-1229 | |
| (619) 423-3774 | |
| Not Available |
| Full Name | Mrs Danielle Alexis Gordon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 705 Palm Ave, Imperial Beach, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780148056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NP95010963 (California) | Primary |
| 207Q00000X | Family Medicine | 95010963 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grossmont Hospital | La mesa, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Innovative Wellness Clinic Inc A Nursing Corporation | 9830587427 | 3 |
| Entity Name | Innovative Wellness Clinic Inc a Nursing Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316535776 PECOS PAC ID: 9830587427 Enrollment ID: O20211101002777 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Danielle Alexis Gordon, FNP 1244 El Cortez Ct, Chula Vista, CA 91910-8186 Ph: (904) 631-2880 | Mrs Danielle Alexis Gordon, FNP 705 Palm Ave, Imperial Beach, CA 91932-1229 Ph: (619) 423-3774 |
Paris Kantas, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 705 Palm Ave, Imperial Beach, CA 91932 Phone: 619-424-5106 |
Ms. Stephanie Cunningham, DNP, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 949 Palm Ave, Imperial Beach, CA 91932 Phone: 619-429-3733 |
Heather Ann Roberts Calzada, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 949 Palm Ave, Imperial Beach, CA 91932 Phone: 619-429-3733 |
Lisa George, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 705 Palm Ave, Imperial Beach, CA 91932 Phone: 619-424-5106 Fax: 619-424-3648 |
Judith Ann Winhoven, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 949 Palm Ave, Imperial Beach, CA 91932 Phone: 619-429-3733 Fax: 619-429-3823 |
Jibran Miller, DNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 949 Palm Ave, Imperial Beach, CA 91932 Phone: 619-429-3733 |
Francesca Floyd, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 949 Palm Ave, Imperial Beach, CA 91932 Phone: 619-429-3733 |