Active NPI
Elizabeth Gordon, M.ED, CALT, CDT
- Specialist
- Warrenton, VA
National Provider Identifier
1851807622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 5436
- Practice address
- 196 Old Orchard LN
Warrenton, VA 20186-2502 - Phone
- (703) 855-8133
- Fax
- (703) 855-8133
- NPI assigned
- Dec 15, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 5436 | VA | Primary |
Addresses
Primary practice location
196 Old Orchard LN
Warrenton, VA 20186-2502
Mailing address
196 Old Orchard LN
Warrenton, VA 20186-2502
Phone (703) 855-8133
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
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5436 | VA | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513296000000",
"number": "1851807622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "196 OLD ORCHARD LN",
"city": "WARRENTON",
"state": "VA",
"postal_code": "201862502",
"telephone_number": "703-855-8133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "196 OLD ORCHARD LN",
"city": "WARRENTON",
"state": "VA",
"postal_code": "201862502",
"telephone_number": "703-855-8133",
"fax_number": "703-855-8133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "ELIZABETH",
"credential": "M.ED, CALT, CDT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-15",
"last_updated": "2017-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "5436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warrenton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.