Rondell Gordon

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

7504 Wilder Ave
Jacksonville, FL 32208-4272

Phone

(904) 525-4296

Fax

(606) 769-1459

NPI assigned

Aug 10, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1565395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1164078739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7504 WILDER AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322084272",
            "telephone_number": "904-525-4296",
            "fax_number": "606-769-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7504 WILDER AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322084272",
            "telephone_number": "904-525-4296",
            "fax_number": "606-769-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "RONDELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-10",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kesha M. Gordon, CPT, BLSI
• Mitchell Gordon, PH.D., ABPP
• Patrick O Gordon, MD
• Rebecca J Gordon, PHARMD
• Rhonda T Gordon
• Yale Gordon, DC
• Gore Safe Transportation LLC
• Lacey Nicole Gore, APRN
• Phillip Gore
• Anna Gorelik, M.D.

• All providers in Jacksonville, FL
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.