Edris Inez Daly-Gordon, RD, ED.D

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

RN9209010 Issued in FL

Practice address

962 Cherry Branch CT
Lake Mary, FL 32746-1944

Phone

(407) 591-9353

Fax

(407) 804-9517

NPI assigned

Dec 23, 2014

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

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.

• Gordon Home Health Ministries Inc

  • Gerontology Nurse Practitioner
  • Lake Mary, FL
  • NPI 1962839761
  NPD (past) Authorized official

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1457749665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 CHERRY BRANCH CT",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461944",
            "telephone_number": "407-591-9353",
            "fax_number": "407-804-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "962 CHERRY BRANCH CT",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461944",
            "telephone_number": "407-591-9353",
            "fax_number": "407-804-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALY-GORDON",
        "first_name": "EDRIS",
        "middle_name": "INEZ",
        "credential": "RD, ED.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-23",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "RN9209010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cyrus Diagnostic Imaging
• Cyrus Diagnostic Imaging Inc
• Cyrus Diagnostic Imaging, Inc
• Priscilla Cysneiros, PTA
• Breven P Dalsemer, PT, DPT
• Damask Physicians Group PLLC
• Conrad B Dancy, D.C.
• Patricia Daneke
• Maisha Daniel
• Anesia R Daniels

• Home Health Registered Nurse in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Home Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; 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.