Individual provider Active NPI

Justina Leigh Gordner, CCHW

  • Community Health Worker
  • Williamsport, PA
National Provider Identifier
1437053766
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
24399 Issued in PA
Practice address
471 Hepburn St
Williamsport, PA 17701-6122
Phone
(570) 567-5400
Fax
(877) 551-9931
NPI assigned
Oct 8, 2026
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 24399 PA Primary

Addresses

Primary practice location

471 Hepburn St
Williamsport, PA 17701-6122

Mailing address

471 Hepburn St
Williamsport, PA 17701-6122
Phone (570) 567-5400

Other practice location 1

124 E Walnut St Ste 2
Lock Haven, PA 17745-3522
Phone (570) 567-5400 ext. 1201

Other practice location 2

431 Hepburn St
Williamsport, PA 17701-6122
Phone (570) 567-5400 ext. 1201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1437053766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 HEPBURN ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177016122",
            "telephone_number": "570-567-5400",
            "fax_number": "877-551-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 HEPBURN ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177016122",
            "telephone_number": "570-567-5400",
            "fax_number": "877-551-9931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 E Walnut St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Lock Haven",
            "state": "PA",
            "postal_code": "177453522",
            "country_code": "US",
            "telephone_number": "570-567-5400 x1201",
            "fax_number": "877-551-9931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "431 Hepburn St",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177016122",
            "country_code": "US",
            "telephone_number": "570-567-5400 x1201",
            "fax_number": "877-551-9931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDNER",
        "first_name": "JUSTINA",
        "middle_name": "LEIGH",
        "credential": "CCHW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-08",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "PA",
            "license": "24399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.