Active NPI
Malynda Ann Gordon
- Home Health Aide
- Omaha, NE
National Provider Identifier
1306769062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 4309 Decatur St
Omaha, NE 68111-3914 - Phone
- (402) 359-1265
- NPI assigned
- Jul 31, 2026
- Last updated
- Sep 23, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary | ||
| Homemaker | 376J00000X |
Addresses
Primary practice location
4309 Decatur St
Omaha, NE 68111-3914
Mailing address
4309 Decatur St
Omaha, NE 68111-3914
Other names 1
- Malynda Gordon
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790121600000",
"number": "1306769062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4309 DECATUR ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681113914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4309 DECATUR ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681113914",
"telephone_number": "402-359-1265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "MALYNDA",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-07-31",
"last_updated": "2026-09-23",
"certification_date": "2026-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MALYNDA",
"last_name": "GORDON",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.