Andira Gordon-Williams

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

703330 Issued in NY

Practice address

80 Maiden LN
New York, NY 10038-4811

Phone

(718) 859-5420

NPI assigned

Dec 21, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513814400000",
    "number": "1316453780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 HERZL ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112124630",
            "telephone_number": "347-262-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 MAIDEN LN",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384811",
            "telephone_number": "718-859-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON-WILLIAMS",
        "first_name": "ANDIRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-21",
        "last_updated": "2017-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "703330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eloise Miekle Gordon-Mallett, RN, FNP
• Mellissa Gordon-Nelson, MS
• Keisha Marie Gordon-Richards
• Gordon-Wellington Psychotherapy for Mental Health Counseling, PLLC (Wellington Psychotherapy)
• Cynthia E Gordon-Wellington, MHC-LP
• Alexander Gordon, DDS
• Alexandra Lowry Gordon
• Alexandra Rose Gordon, MD
• Alexis Gordon
• Allison Gordon, MD

• Registered Nurse in New York, NY
• Providers in New York, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; 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.