COURTNEY GORDON NP NPI 1699916643

NPI Information

  • NPI: 1699916643
  • Provider Name: COURTNEY GORDON, NP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3333 CALIFORNIA ST
    SUITE 380
    SAN FRANCISCO, CA
    ZIP 94118
  • Phone: (415) 502-8885

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NPI Details

Courtney Gordon, NP is a gerontology nurse practitioner in San Francisco, CA with 16 years of experience. Courtney Gordon, NP NPI is 1699916643. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3333 CALIFORNIA ST
SUITE 380
SAN FRANCISCO, CA
ZIP 94118-981
Phone: (415) 502-8885
Fax: (415) 514-0702

The NPI 1699916643 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient home visit, typically 40 minutes (HCPCS:99349)
  • Established patient home visit, typically 1 hour (HCPCS:99350)
  • Established patient home visit, typically 25 minutes (HCPCS:99348)
  • Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)

The enumeration date for this NPI number is 3/19/2009 and was last updated on 12/19/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontology20427CALIFORNIAYes
2363LG0600XNurse PractitionerGerontologyCOA.10651-NPOHIONo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12941231MEDICAIDOHIO
2KENP30241MEDICARE PINOHIO
3P00844493MEDICARE PINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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