Monica Gordon-Dixon

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

RN3380132 Issued in FL

Practice address

6638 Central Ave
St Petersburg, FL 33707-1331

Phone

(727) 289-7078

Fax

(888) 350-0447

NPI assigned

Apr 16, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1306233481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6638 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337071331",
            "telephone_number": "727-289-7078",
            "fax_number": "888-350-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6638 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337071331",
            "telephone_number": "727-289-7078",
            "fax_number": "888-350-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON-DIXON",
        "first_name": "MONICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN3380132",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "FL",
            "license": "RN3380132",
            "primary": true
        },
        {
            "code": "163WH0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hemodialysis",
            "state": "FL",
            "license": "RN3380132",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Jon Goodwin, LDO
• Lavanya Gopal, NP
• Rose Gugu Gopfert, OTR/L
• Adam Garett Gorberg, M.D.
• Gordon J. Gilbert, M.D., P.a.
• Keisha-Ann Gordon-Primus, FNP-BC
• Andrea Elizabeth Gordon, PHARM.D.
• Annmarie Gordon
• Colleen M. Gordon, SLP
• Karen L Gordon, RDH

• Administrator Registered Nurse in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Administrator Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.