Nicole McKnight Gordon

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

334606-01 Issued in NY

Practice address

293 Saratoga Ave Apt 2
Brooklyn, NY 11233-6553

Phone

(646) 683-2650

NPI assigned

Jun 5, 2023

Last updated

Jun 5, 2023By 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1639863616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 SARATOGA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112336553",
            "telephone_number": "646-683-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 SARATOGA AVE APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112336553",
            "telephone_number": "646-683-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKNIGHT GORDON",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "334606-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennara Marie McKinney, OT
• Ena E McKinnon
• Karen Roselyn McKinnon, LPN
• Nikita McKinnon, PTA
• Katherine McKinstry
• Kaitlyn Clair McKnight
• Audrey McKoy
• Muriel L McKoy, DDS
• Ashley McLain
• Dominique McLamb

• Licensed Practical Nurse in Brooklyn, NY
• Providers in Brooklyn, 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 Jun 5, 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.