Active NPI
Tonika Isedreika Gordon
- Registered Nurse
- Columbus, OH
National Provider Identifier
1013138692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN-410243
- Practice address
- 750 Hanford St.
Columbus, OH 43206 - Phone
- (614) 449-2103
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN-108308 | OH | |
| Registered Nurse | 163W00000X | RN-410243 | OH | Primary |
Addresses
Primary practice location
750 Hanford St.
Columbus, OH 43206
Mailing address
750 Hanford St.
Columbus, OH 43206
Phone (614) 449-2103
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2358792 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN-410243 | OH | MD | Registered Nurse |
| PN-108308 | OH | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Hands Nursing LLC | Current | Accepting new patients |
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.
-
- Home Health Aide
- Columbus, OH
- NPI 1285588988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655337600000",
"number": "1013138692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 HANFORD ST.",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43206",
"telephone_number": "614-449-2103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 HANFORD ST.",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43206",
"telephone_number": "614-449-2103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "TONIKA",
"middle_name": "ISEDREIKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2022-06-16",
"certification_date": "2022-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN-108308",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN-410243",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2358792",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.