Active NPI
Sandra L Gordon, RN
- Addiction (Substance Use Disorder) Registered Nurse
- Farmington, NM
National Provider Identifier
1972042885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Registered Nurse
- License
- R27196
- Practice address
- 607 E Apache St
Farmington, NM 87401-6925 - Phone
- (505) 326-2012
- Fax
- (505) 326-2939
- NPI assigned
- Feb 13, 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | R27196 | NM | Primary |
Addresses
Primary practice location
607 E Apache St
Farmington, NM 87401-6925
Mailing address
607 E Apache St
Farmington, NM 87401-6925
Phone (505) 326-2012
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 |
|---|---|---|---|
| R27196 | NM | MD | Addiction (Substance Use Disorder) Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486944000000",
"number": "1972042885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 E APACHE ST",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874016925",
"telephone_number": "505-326-2012",
"fax_number": "505-326-2939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 E APACHE ST",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874016925",
"telephone_number": "505-326-2012",
"fax_number": "505-326-2939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "SANDRA",
"middle_name": "L",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-13",
"last_updated": "2017-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "NM",
"license": "R27196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.