Rebecca Gordon, LN

Primary specialty

NutritionistTaxonomy code 133N00000X

License

NU000003 Issued in NC

Practice address

595 Beaten Path Rd
Mooresville, NC 28117-8982

Phone

(704) 775-9300

NPI assigned

Sep 15, 2017

Last updated

Jul 1, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mindful Family Wellness, LLC

  • Nutritionist
  • Mooresville, NC
  • NPI 1922788314
  NPD

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1235658733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4833",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281174833",
            "telephone_number": "704-775-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 BEATEN PATH RD",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178982",
            "telephone_number": "704-775-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "REBECCA",
        "credential": "LN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-15",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": "NC",
            "license": "10-201604",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NC",
            "license": "NU000003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Nichole Gonzalez, FNP-C
• Vanessa Gonzalez
• Joshua N Gooding
• Mark Allen Goodson, MD
• Maje D. Goodwin, MD
• Grace Vision Care O.D., PLLC
• Jessica Jane Grace, OD
• Brooke Graham
• Ashley Christina Grant, OTR/L
• Christopher Gray, DDS

• Nutritionist in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Nutritionist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.