Active NPI
Shaniel Gordon, FNP
- Family Nurse Practitioner
- Apopka, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11029731
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11029731 | FL | MD | Family Nurse Practitioner |
| APRN11029731 | FL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Florida Hospitalist Partners PA | Current | Accepting new patients | |
| Privia Medical Group Florida, LLC | Current | 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.
-
- Hospitalist Physician
- Orlando, FL
- NPI 1558381921
-
- General Practice Physician
- Indialantic, FL
- NPI 1700649043
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.