Teleyah Gordon, RN

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

License

219592 Issued in CT

Practice address

30 Hillside St Apt C15
East Hartford, CT 06108-3659

Phone

(860) 690-3253

NPI assigned

Feb 10, 2025

Last updated

Feb 10, 2025By 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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1659186419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HILLSIDE ST APT C15",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083659",
            "telephone_number": "860-690-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HILLSIDE ST APT C15",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083659",
            "telephone_number": "860-690-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "TELEYAH",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "CT",
            "license": "219592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisandra Gonzalez
• Sarah Mae Goodell
• Donald E. Gordon, P.A.
• Jennifer L Gordon, P.A.
• Lucas Peter Gordon
• Shira Gore
• Shrushti Gosar
• Grace Haven LLC
• Gianna Rae Grafton
• Kimberly Grant

• Wound Care Registered Nurse in East Hartford, CT
• Providers in East Hartford, CT by specialty
• Wound Care Registered Nurse in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.