Active NPI
Hadley Gordon, MS, RDN, LDN
- Registered Dietitian
- Arvada, CO
National Provider Identifier
1356974349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 8120 Sheridan Blvd Ste 315C
Arvada, CO 80003-6160 - Phone
- (708) 717-7394
- NPI assigned
- Feb 18, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND10632 | FL | |
| Registered Dietitian | 133V00000X | LD005885 | GA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Registered Dietitian | 133V00000X | CO | Primary | |
| Registered Dietitian | 133V00000X | 376 | WY |
Addresses
Primary practice location
8120 Sheridan Blvd Ste 315C
Arvada, CO 80003-6160
Mailing address
8120 Sheridan Blvd Ste 315C
Arvada, CO 80003-6160
Phone (708) 717-7394
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND10632 | FL | MD | Registered Dietitian |
| LD005885 | GA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| The Renfrew Centers, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba The Renfrew Center of Massachusetts, LLC
- Adult Mental Health Clinic/Center
- Boston, MA
- NPI 1346674215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633046400000",
"number": "1356974349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8120 SHERIDAN BLVD STE 315C",
"city": "ARVADA",
"state": "CO",
"postal_code": "800036160",
"telephone_number": "708-717-7394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8120 SHERIDAN BLVD STE 315C",
"city": "ARVADA",
"state": "CO",
"postal_code": "800036160",
"telephone_number": "708-717-7394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "HADLEY",
"credential": "MS, RDN, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-18",
"last_updated": "2021-10-01",
"certification_date": "2021-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND10632",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD005885",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CO",
"license": null,
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WY",
"license": "376",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.