Safiya A Gordon, A.R.N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP9176677 Issued in FL

Practice address

9900 Bren Rd E
Minnetonka, MN 55343-9664

Phone

(727) 320-7879

Fax

(727) 320-7879

NPI assigned

Aug 17, 2006

Last updated

Oct 1, 2020By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sago Superior Management Inc

  • Adult Health Nurse Practitioner
  • St Petersburg, FL
  • NPI 1811152366
  Authorized official Same address or phone
• Mukherjee & Mukayed MDS PA

  • Cardiovascular Disease Physician
  • St Petersburg, FL
  • NPI 1437185709
  NPD (past)
• Promed Ipa LLC

  • Internal Medicine Physician
  • St Petersburg, FL
  • NPI 1457218596
  NPD (past)
• Your Care Clinics LLC

  • Internal Medicine Physician
  • Largo, FL
  • NPI 1174780589
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1588777858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 36TH AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337123731",
            "telephone_number": "727-320-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 BREN RD E",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439664",
            "telephone_number": "727-320-7879",
            "fax_number": "727-320-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "SAFIYA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9176677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayda Caridad Gonzalez, APRN
• Roy Howard Good, CRNA
• Barbara Sue Goodman-Fischtrom, LICSW,LMFT,LADC
• Kinsey Goodman, NP
• Gopher (Minnetonka) TRS LLC (Havenwood of Minnetonka)
• Nicole Gorvin, ATR
• Roxanne Gosnell, AGNP
• Megan Frances Grabanski, MS, CCC-SLP
• Hailey Grace, APN
• Gracefull Living LLC

• Nurse Practitioner in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.