Natasha N Gordon, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

290658-1 Issued in NY

Practice address

580 White Plains Rd Ste 510
Tarrytown, NY 10591-5152

Phone

(914) 345-5900

NPI assigned

Mar 6, 2009

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

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.

• The Mental Health Association of Westchester County, Inc.

  • Community/Behavioral Health Agency
  • White Plains, NY
  • NPI 1942306873
  NPD
• The Mental Health Association of Westchester County - Social Care Network

  • Case Manager/Care Coordinator
  • Tarrytown, NY
  • NPI 1760320659
  NPD (past)

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1639319429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 WHITE PLAINS RD STE 510",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915152",
            "telephone_number": "143-455-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 WHITE PLAINS RD STE 510",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915152",
            "telephone_number": "914-345-5900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Jackson Ave",
            "address_purpose": "LOCATION",
            "city": "Scarsdale",
            "state": "NY",
            "postal_code": "105833140",
            "country_code": "US",
            "telephone_number": "914-472-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "NATASHA",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-06",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "290658-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Golub, RDN
• Jeffrey S. Gonzalez, PHD
• Willy Gonzalez
• Good Life Physical Therapy PLLC
• Allyson Good
• David Gougelet
• Jacqueline Ava Gould
• Irene Hanchett Grant, M.D.
• Keith Lamont Grant, LMSW
• Liana Greer, MD

• Licensed Practical Nurse in Tarrytown, NY
• Providers in Tarrytown, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.