Donna Marie Gordon, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

509847-1 Issued in NY

Practice address

9620 County Road 16
Canaseraga, NY 14822-9785

Phone

(585) 466-3196

Fax

(585) 466-3196

NPI assigned

Aug 3, 2012

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343952000000",
    "number": "1487900874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9620 COUNTY ROAD 16",
            "city": "CANASERAGA",
            "state": "NY",
            "postal_code": "14822",
            "telephone_number": "585-466-3196",
            "fax_number": "585-466-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9620 COUNTY ROAD 16",
            "city": "CANASERAGA",
            "state": "NY",
            "postal_code": "148229785",
            "telephone_number": "585-466-3196",
            "fax_number": "585-466-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "509847-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Eve Buchinger, LPN
• Canaseraga Central School
• Shelby Gross, FNP-C
• Bruce Mackellar, MD
• Lauren Marino, RPA-C
• Staci M Mullen, RN
• Zinovia Pappas, RN,BSN

• All providers in Canaseraga, NY
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.