Active NPI
Christine Gordon
- Licensed Practical Nurse
- Peekskill, NY
National Provider Identifier
1366749178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 1743471
- Practice address
- 26 Poplar Cir
Peekskill, NY 10566-4124 - Phone
- (914) 736-1639
- NPI assigned
- Feb 15, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 1743471 | NY | Primary |
Addresses
Primary practice location
26 Poplar Cir
Peekskill, NY 10566-4124
Mailing address
26 Poplar Cir
Peekskill, NY 10566-4124
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 |
|---|---|---|---|
| 1743471 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297728000000",
"number": "1366749178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 POPLAR CIR",
"city": "PEEKSKILL",
"state": "NY",
"postal_code": "105664124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 POPLAR CIR",
"city": "PEEKSKILL",
"state": "NY",
"postal_code": "105664124",
"telephone_number": "914-736-1639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "CHRISTINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-15",
"last_updated": "2011-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "1743471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peekskill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.