Active NPI
Raymondo B. Gordon, RN
- Registered Nurse
- Rochester, MN
National Provider Identifier
1831053792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R191305-7
- Practice address
- 1216 2ND St SW
Rochester, MN 55902-1906 - Phone
- (507) 255-6926
- NPI assigned
- Dec 15, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R191305-7 | MN | Primary |
Addresses
Primary practice location
1216 2ND St SW
Rochester, MN 55902-1906
Mailing address
537 Northern Hills Dr NE Apt 32
Rochester, MN 55906-4035
Phone (507) 255-6926
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R191305-7 | MN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1831053792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "537 NORTHERN HILLS DR NE APT 32",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559064035",
"telephone_number": "507-255-6926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1216 2ND ST SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559021906",
"telephone_number": "507-255-6926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "RAYMONDO",
"middle_name": "B.",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-12-15",
"last_updated": "2025-12-15",
"certification_date": "2025-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "R191305-7",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.