Active NPI
Lynne Alison Gordon, LM
- Midwife
- Gilbert, AZ
National Provider Identifier
1689813859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- LM158
- Practice address
- 3303 S Lindsay Rd
Suite 125
Gilbert, AZ 85297-1503 - Phone
- (480) 664-7463
- Fax
- (480) 664-7467
- NPI assigned
- Feb 11, 2009
- Last updated
- Apr 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | LM158 | AZ | Primary |
Addresses
Primary practice location
3303 S Lindsay Rd
Suite 125
Gilbert, AZ 85297-1503
Mailing address
3303 S Lindsay Rd
Suite 125
Gilbert, AZ 85297-1503
Phone (480) 664-7463
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LM158 | AZ | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Birth Group | Past | Accepting new patients | |
| Private Healthcare Facilities | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Tempe, AZ
- NPI 1326781691
-
- Birthing Clinic/Center
- Tempe, AZ
- NPI 1780327056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524096000000",
"number": "1689813859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3303 S LINDSAY RD",
"address_2": "SUITE 125",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852971503",
"telephone_number": "480-664-7463",
"fax_number": "480-664-7467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3303 S LINDSAY RD",
"address_2": "SUITE 125",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852971503",
"telephone_number": "480-664-7463",
"fax_number": "480-664-7467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "LYNNE",
"middle_name": "ALISON",
"credential": "LM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-11",
"last_updated": "2018-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "AZ",
"license": "LM158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.