Individual provider Active NPI

Emily Gordon, RD LDN

  • Registered Dietitian
  • Boynton Beach, FL
National Provider Identifier
1003673286
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN003953 Issued in PA
Practice address
8852 Sandy Crest LN
Boynton Beach, FL 33473-7812
Phone
(215) 518-1194
NPI assigned
Mar 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN003953 PA Primary

Addresses

Primary practice location

8852 Sandy Crest LN
Boynton Beach, FL 33473-7812

Mailing address

8852 Sandy Crest LN
Boynton Beach, FL 33473-7812
Phone (215) 518-1194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN003953PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Zipongo Health Provider Group P.a. Past Accepting new patients

Networks

  • FL HMO
  • TX HMO
  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • FL PPO
  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
  • FL HMO C-SNP
  • IL PPO Downstate
  • FL HMO D-SNP
  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
  • IL HMO C-SNP
  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
  • TX HMO D-SNP

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1003673286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8852 SANDY CREST LN",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334737812",
            "telephone_number": "215-518-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8852 SANDY CREST LN",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334737812",
            "telephone_number": "215-518-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "EMILY",
        "credential": "RD LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN003953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.