Kesha M. Gordon, CPT, BLSI

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

641008180001 Issued in FL

Practice address

1301 Monument Rd Ste 17
Jacksonville, FL 32225-6462

Phone

(904) 383-6915

NPI assigned

Sep 26, 2023

Last updated

Sep 26, 2023By the provider in NPPES

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

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1538948880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4553 REVELSTOKE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322077430",
            "telephone_number": "904-383-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MONUMENT RD STE 17",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322256462",
            "telephone_number": "904-383-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "KESHA",
        "middle_name": "M.",
        "credential": "CPT, BLSI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "FL",
            "license": "641008180001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Christine Gorden, ARNP
• Aisha Gordon, LCSW
• Brandon Troy Gordon, MD
• Candace Michele Gordon, APRN
• Jonathan Dales Gordon, D.M.D.
• Mitchell Gordon, PH.D., ABPP
• Patrick O Gordon, MD
• Rebecca J Gordon, PHARMD
• Rhonda T Gordon
• Rondell Gordon

• Phlebotomy Technician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Phlebotomy Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.