Ashley Blake Gordon, N.D., LAC

Primary specialty

NaturopathTaxonomy code 175F00000X

License

099.0082246 Issued in VT

Practice address

4201 Westbank Dr
Austin, TX 78746-4454

Phone

(512) 327-8877

Fax

(512) 327-0388

NPI assigned

Jul 12, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Peoples Pharmacy

  • Community/Retail Pharmacy
  • Austin, TX
  • NPI 1114040391
  NPD (past)

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1689015067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 MANCHACA RD",
            "address_2": "#150939",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787155001",
            "telephone_number": "512-222-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 WESTBANK DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787464454",
            "telephone_number": "512-327-8877",
            "fax_number": "512-327-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "ASHLEY",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "N.D., LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-12",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "VT",
            "license": "099.0082246",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC01608",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mini Gopalan, M.D.
• Niharika Goparaju, MD
• Margot Fallon Goralczyk
• Sruti Gorantla
• Andrew Christopher Gorchs, M.D.
• Ashley Elizabeth Gordon, MD
• Clare Michelle Gordon, OTR
• David J Gordon II, D.D.S.
• Donna Sue Gordon, CRNA
• Francois Antoine Gordon, MD

• Naturopath in Austin, TX
• Providers in Austin, TX by specialty
• Naturopath in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.