Jacqueline Gordon, BS

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

9235 Lake Forest Blvd
Suite a
New Orleans, LA 70127-3043

Phone

(504) 241-8188

Fax

(504) 264-5941

NPI assigned

Apr 29, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

Practice roles

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.

• Integrity Behavioral Management, LLC

  • Community/Behavioral Health Agency
  • New Orleans, LA
  • NPI 1801195649
  NPD (past)

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1457706285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9235 LAKE FOREST BLVD",
            "address_2": "SUITE A",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701273043",
            "telephone_number": "504-241-8188",
            "fax_number": "504-264-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9235 LAKE FOREST BLVD",
            "address_2": "SUITE A",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701273043",
            "telephone_number": "504-241-8188",
            "fax_number": "504-264-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JACQUELINE",
        "name_prefix": "Mrs.",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-29",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angellica O Gordon, MD
• Bernadine T Gordon
• Carl A Gordon, RPH
• Delisa Gordon
• Gabrielle Gordon, RPH
• Jaranea Gordon
• John M Gordon, M.D.
• Johnnika N Gordon, LPC
• Kamri Gordon
• Odile Gordon

• Case Manager/Care Coordinator in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.