Individual provider Active NPI

Debbie Simone Gordon, APRN-BC

  • Family Nurse Practitioner
  • Belle Glade, FL
National Provider Identifier
1891173977
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11012776 Issued in FL
Practice address
1508 Dr Martin Luther King Jr Blvd W
Belle Glade, FL 33430-3772
Phone
(561) 503-0309
Fax
(800) 881-2893
NPI assigned
May 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11012776 FL Primary

Addresses

Primary practice location

1508 Dr Martin Luther King Jr Blvd W
Belle Glade, FL 33430-3772

Mailing address

1508 Dr Martin Luther King Jr Blvd W
Belle Glade, FL 33430-3772
Phone (561) 503-0309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241014004413 FL Practitioner - Nurse Practitioner 3779015862 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizons of the Treasure Coast Inc CurrentSince Jan 27, 2025 Accepting new patients

Locations

4500 W Midway Rd
Fort Pierce, FL 34981
Phone (561) 468-5600

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1891173977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 DR MARTIN LUTHER KING JR BLVD W",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334303772",
            "telephone_number": "561-503-0309",
            "fax_number": "800-881-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 DR MARTIN LUTHER KING JR BLVD W",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334303772",
            "telephone_number": "561-503-0309",
            "fax_number": "800-881-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "DEBBIE",
        "middle_name": "SIMONE",
        "credential": "APRN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11012776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Glade, FL

Sources for this page

Verify at the official NPI Registry.