Individual provider Active NPI

Shaniel Gordon, FNP

  • Family Nurse Practitioner
  • Apopka, FL
National Provider Identifier
1033945472
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11029731 Issued in FL
Practice address
515 Wekiva Commons Cir
Apopka, FL 32712-3645
Phone
(407) 464-9516
Fax
(407) 464-9519
NPI assigned
Sep 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11029731 FL Primary
Pediatric Nurse Practitioner 363LP0200X APRN11029731 FL

Addresses

Primary practice location

515 Wekiva Commons Cir
Apopka, FL 32712-3645

Mailing address

515 Wekiva Commons Cir
Apopka, FL 32712-3645
Phone (407) 464-9516

Other practice location 1

5730 Hamlin Groves Trl Ste 164
Winter Garden, FL 34787-5792
Phone (407) 347-7052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250328003386 FL Practitioner - Nurse Practitioner 8729501804 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11029731FLMDFamily Nurse Practitioner
APRN11029731FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Hospitalist Partners PA CurrentSince Mar 3, 2026 Accepting new patients
Privia Medical Group Florida, LLC CurrentSince Mar 17, 2025 Accepting new patients

Locations

515 Wekiva Commons Cir
Apopka, FL 32712
Phone (407) 464-9516

140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777

5730 Hamlin Groves Trl
Ste 164
Winter Garden, FL 34787
Phone (407) 347-7052

Organizations & group practices 2

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": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1033945472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 WEKIVA COMMONS CIR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327123645",
            "telephone_number": "407-464-9516",
            "fax_number": "407-464-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 WEKIVA COMMONS CIR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327123645",
            "telephone_number": "407-464-9516",
            "fax_number": "407-464-9519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5730 Hamlin Groves Trl Ste 164",
            "address_purpose": "LOCATION",
            "city": "Winter Garden",
            "state": "FL",
            "postal_code": "347875792",
            "country_code": "US",
            "telephone_number": "407-347-7052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "SHANIEL",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-11",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11029731",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "APRN11029731",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

Verify at the official NPI Registry.