Shennel Gordon

Primary specialty

TechnicianTaxonomy code 374700000X

Practice address

13176 Jefferson Ave Ste C
Newport News, VA 23608-1322

Phone

(757) 585-4365

NPI assigned

Nov 6, 2024

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

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1699598771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13176 JEFFERSON AVE STE C",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236081322",
            "telephone_number": "757-585-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13176 JEFFERSON AVE STE C",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236081322",
            "telephone_number": "757-585-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "SHENNEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-06",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori M Goodwin, MD
• Rachel Goodwyn, LPC
• Rwanda Goolsby
• Gordon Wellness LLC
• Aliya Simcha Gordon
• David Leon Gore Jr., MD
• Savannah Gore
• Laura Gorenc, ED.S.
• Thomas Jamaar Gorham, QMHP-A
• Danielle Gorman, DPT

• Technician in Newport News, VA
• Providers in Newport News, VA by specialty
• Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.