Kourtney Gordon, MS,RD/LD,CEDRD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

3314 Henderson Blvd Ste 206
Tampa, FL 33609-2934

Phone

(813) 906-7707

Fax

(813) 502-0266

NPI assigned

Feb 27, 2025

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

Master of Science

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

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1689471518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3314 HENDERSON BLVD STE 206",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092934",
            "telephone_number": "813-906-7707",
            "fax_number": "813-502-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3314 HENDERSON BLVD STE 206",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092934",
            "telephone_number": "813-906-7707",
            "fax_number": "813-502-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "KOURTNEY",
        "credential": "MS,RD/LD,CEDRD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherie Gordon, ARNP
• Federico Gordon Jr., MBA, MLS(ASCP)
• Jessica Marie Gordon, ARNP
• Joellen Gordon, PHYSICIAN ASSISTANT
• Kevin B Gordon, ATC
• Madelynn Gordon
• Matthew Gordon, RPH
• Michelle Judith Gordon, MA CCC SLP
• Sharon Gordon, MSN, APRN, FNP-BC
• Tara Gordon

• Registered Dietitian in Tampa, FL
• Providers in Tampa, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.