Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tisha C. Gordon, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1720310253

Tisha C. Gordon, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in American Fork, Utah. Qualified in 2009, 17 years ago. Practices with Nph Anesthesia of Utah LLC, a 93-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
17
Licensed in
UT
In the registry since
2010
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

170 N 1100 E
American Fork, UT 84003-2096
Phone: (801) 763-3300
Fax: (801) 432-2668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 354490-4406 (UT)

Record details

NPI number1720310253
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedFebruary 9, 2010
Last updated in NPPESFebruary 9, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Nph Anesthesia Of Utah Llc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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