Nilka Gordon

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP008554 Issued in GA

Practice address

1 Baltimore PL NW
Suite 360
Atlanta, GA 30308-2116

Phone

(404) 815-9393

Fax

(404) 815-9991

NPI assigned

Jun 6, 2014

Sex

Female

Sole proprietor

No

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

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Individual Expressions Therapy, LLC

  • Speech-Language Pathologist
  • Douglasville, GA
  • NPI 1073032884
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402012800000",
    "number": "1487067468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BALTIMORE PL NW",
            "address_2": "SUITE 360",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082116",
            "telephone_number": "404-815-9393",
            "fax_number": "404-815-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BALTIMORE PL NW",
            "address_2": "SUITE 360",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082116",
            "telephone_number": "404-815-9393",
            "fax_number": "404-815-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "NILKA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-06",
        "last_updated": "2014-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP008554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Lanier Gordon
• Meagan Gabrielle Gordon, M.S. CCC-SLP
• Michael Cowl Gordon, MD
• Nadine Cyrilla Gordon, MD
• Nicole Michelle Gordon, MD
• Rachel Hart Gordon
• Robert Dana Gordon, M.D.
• Ruby Gordon, MS, BCBA
• Shaikirea Malasia Gordon, BCBA
• Tairiq Gordon

• Speech-Language Pathologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.