Active NPI
Bridget Nicole Gordon, CCMA,CPT, FMP
- Health & Wellness Coach
- Louisville, KY
National Provider Identifier
1245911858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- License
- AP-FMFX-2026-NBYHEC
- Practice address
- 4903 Crossing Spring Way
Louisville, KY 40229-1187 - Phone
- (502) 922-6653
- NPI assigned
- Jul 27, 2023
- 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 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | AP-FMFX-2026-NBYHEC | Primary | |
| Homeopath | 175L00000X | |||
| Phlebotomy Technician | 246RP1900X | 26-CPT353 | ||
| Home Health Agency | 251E00000X | |||
| Naturopath | 175F00000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Health Educator | 174H00000X | |||
| Clinical Laboratory Director (Non-physician) | 247ZC0005X | |||
| Pathology Specialist/Technologist | 246Q00000X | |||
| Nursing Care Agency | 251J00000X | 64173719 |
Addresses
Primary practice location
4903 Crossing Spring Way
Louisville, KY 40229-1187
Mailing address
6844 Bardstown Rd Unit 2144
Louisville, KY 40291-3050
Phone (502) 922-6653
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26-CPT353 | KY | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789257600000",
"number": "1245911858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6844 BARDSTOWN RD UNIT 2144",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402913050",
"telephone_number": "502-922-6653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4903 CROSSING SPRING WAY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402291187",
"telephone_number": "502-922-6653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "BRIDGET",
"middle_name": "NICOLE",
"name_prefix": "Miss",
"credential": "CCMA,CPT, FMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-27",
"last_updated": "2026-09-13",
"certification_date": "2026-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": "AP-FMFX-2026-NBYHEC",
"primary": true
},
{
"code": "175L00000X",
"taxonomy_group": "",
"desc": "Homeopath",
"state": null,
"license": null,
"primary": false
},
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": "26-CPT353",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "247ZC0005X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
"state": null,
"license": null,
"primary": false
},
{
"code": "246Q00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": "64173719",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.