Individual provider Active NPI

Christine May Gordon, ARNP

  • Family Nurse Practitioner
  • Coral Springs, FL
National Provider Identifier
1902322613
Registry record updated Aug 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9357697 Issued in FL
Practice address
4753 NW 115TH Ave
Coral Springs, FL 33076-2154
Phone
(954) 592-4836
Fax
(954) 753-1883
NPI assigned
Aug 15, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2017

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 9357697 FL Primary

Addresses

Primary practice location

4753 NW 115TH Ave
Coral Springs, FL 33076-2154

Mailing address

4753 NW 115TH Ave
Coral Springs, FL 33076-2154
Phone (954) 592-4836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA, NY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200409001053 FL Practitioner - Nurse Practitioner 3870922032 Reassigns benefits to 1 organization
I20240830002552 CA Practitioner - Nurse Practitioner 3870922032
I20250925004747 NY Practitioner - Nurse Practitioner 3870922032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Global Wound Care Medical GroupGroup PAC ID 9335504539, 19 clinicians

Practice addresses (Care Compare)

200 White Spruce Blvd
Suite 134
Rochester, NY 14623-1605
Phone (585) 513-5479

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9357697FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Technology Network Inc CurrentSince Mar 4, 2020 Accepting new patients
Optimum Health and Wound Care LLC Family CurrentSince Feb 11, 2026 Accepting new patients
Global Wound Care Medical Group CurrentSince Mar 15, 2023 Accepting new patients

Locations

5901 W Century Blvd
Ste 750
Los Angeles, CA 90045
Phone (323) 843-2861

180 Promenade Cir
Ste 300
Sacramento, CA 95834
Phone (916) 352-6232

5979 Vineland Rd
Ste 109
Orlando, FL 32819
Phone (407) 270-7702

4728 N Habana Ave
Ste 203
Tampa, FL 33614
Phone (323) 315-0491

200 White Spruce Blvd
Ste 134
Rochester, NY 14623
Phone (585) 427-0270

Organizations & group practices 3

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": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502755200000",
    "number": "1902322613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4753 NW 115TH AVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330762154",
            "telephone_number": "954-592-4836",
            "fax_number": "954-753-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4753 NW 115TH AVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330762154",
            "telephone_number": "954-592-4836",
            "fax_number": "954-753-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "CHRISTINE",
        "middle_name": "MAY",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2017-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9357697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.