Kenya Patrice Salters Gordon, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

118615 Issued in OH

Practice address

2643 Martin Luther King Jr Dr
Cleveland, OH 44104-3808

Phone

(216) 324-9510

NPI assigned

Apr 9, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1992978134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2643 MARTIN LUTHER KING JR DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441043808",
            "telephone_number": "216-324-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2643 MARTIN LUTHER KING JR DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441043808",
            "telephone_number": "216-324-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALTERS GORDON",
        "first_name": "KENYA",
        "middle_name": "PATRICE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "118615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2628080",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Carl Salomon, MD
• Natalie Foley Salomon
• Mark G Salomone, DO
• Salonk
• Abdul Kadir Saltagi, MD
• Adel Salti
• Aneesa Saltkield
• Betsie Saltzberg, M. ED
• Cynthia Saltzer, M.A./CCC-A
• Paul M Saluan, M.D.

• Licensed Practical Nurse in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.