Lafaye Gordon, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

311989-031 Issued in WI

Practice address

7100 W Hampton Ave
Apt 1
Milwaukee, WI 53218-4858

Phone

(414) 535-0811

Fax

(414) 535-1915

NPI assigned

May 24, 2010

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": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274659200000",
    "number": "1376862854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 W HAMPTON AVE",
            "address_2": "APT 1",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184858",
            "telephone_number": "414-535-0811",
            "fax_number": "414-535-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W HAMPTON AVE",
            "address_2": "APT 1",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184858",
            "telephone_number": "414-535-0811",
            "fax_number": "414-535-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "LAFAYE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-24",
        "last_updated": "2010-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "311989-031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brody Gordon, MD
• Charlie J Gordon III
• Domonique Gordon
• Heather Lynn Gordon
• John B Gordon, MD
• Michael D Gordon, MD
• Timothy Michael Gordon, EMT- PARAMEDIC
• Elizabeth M Gore, MD
• Elisabeth Gorecki
• Ryan Gorecki

• Licensed Practical Nurse in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; 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.