Peggy Stewart Gordon, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

870533 Issued in LA

Practice address

4615 Government St BLDG 2
Baton Rouge, LA 70806-5820

Phone

(225) 922-0598

Fax

(225) 922-0771

NPI assigned

Dec 12, 2006

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801956347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 GOVERNMENT ST BLDG 2",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708065820",
            "telephone_number": "225-922-0598",
            "fax_number": "225-922-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 GOVERNMENT ST BLDG 2",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708065820",
            "telephone_number": "225-922-0598",
            "fax_number": "225-922-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "PEGGY",
        "middle_name": "STEWART",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "LA",
            "license": "870533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christa Culpepper Gordon, PA-C
• Debra H Gordon, M:ED
• Garrick Gordon Sr.
• Kiyuana A Gordon
• Lillian Gordon, PHARMD
• Stephanie Gordon, LCSW
• Stephen V Gordon, MD
• Stewart Thomas Gordon, MD
• Sydney Erin Gordon
• Karla D Gorio, PA-C

• Licensed Practical Nurse in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Licensed Practical Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.