Active NPI
Lee-Ann Gordon, RN, MSN
- Registered Nurse
- Souderton, PA
National Provider Identifier
1164185187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN500665-L
- Practice address
- 269 Middle Park Dr
Souderton, PA 18964-2243 - Phone
- (267) 875-3295
- NPI assigned
- Oct 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN500665-L | PA | Primary |
Addresses
Primary practice location
269 Middle Park Dr
Souderton, PA 18964-2243
Mailing address
269 Middle Park Dr
Souderton, PA 18964-2243
Phone (267) 875-3295
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
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN500665-L | PA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634428800000",
"number": "1164185187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 MIDDLE PARK DR",
"city": "SOUDERTON",
"state": "PA",
"postal_code": "189642243",
"telephone_number": "267-875-3295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "269 MIDDLE PARK DR",
"city": "SOUDERTON",
"state": "PA",
"postal_code": "189642243",
"telephone_number": "267-875-3295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "LEE-ANN",
"credential": "RN, MSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-17",
"last_updated": "2021-10-17",
"certification_date": "2021-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN500665-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Souderton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.