Lola Zaykeeah Gordon, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN.131935-M-IV Issued in OH

Practice address

2647 Glenbriar St
Columbus, OH 43232-4669

Phone

(614) 551-9845

NPI assigned

Jun 7, 2011

Last updated

Jun 7, 2011By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1740574896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2647 GLENBRIAR ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432324669",
            "telephone_number": "614-551-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2647 GLENBRIAR ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432324669",
            "telephone_number": "614-551-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "LOLA",
        "middle_name": "ZAYKEEAH",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN.131935-M-IV",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703103360",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Erin Gordon, PHD
• Joshua I. Gordon, M.D.
• Kate K. Gordon, PA-C
• Lauren Ashley Gordon
• Lisa Gordon
• Mark Richard Gordon, D.D.S.
• Nathanael Cristopher Gordon
• Rise R Gordon, NP
• Ross Gordon, D.D.S.
• Sencere Gordon

• Licensed Practical Nurse in Columbus, OH
• Providers in Columbus, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.