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ANGELLICA O GORDON MD
NPI 1013572981
Student in an Organized Health Care Education/Training Program in New Orleans, LA

Active since May 07, 2019
433 BOLIVAR ST APT B, NEW ORLEANS, LA 70112(810) 618-3034 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 25, 2020, Mar 24, 2020, May 7, 2019 (3 updates tracked since 2019).

About Angellica O Gordon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELLICA O GORDON MD (NPI 1013572981) is an individual student in an organized health care education/training program in New Orleans, Louisiana and active in the NPI registry since May 2019. She maintains a secondary practice location in New Orleans.

NPPES Registry Identity

NPI1013572981
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameANGELLICA O GORDONCredential: MD
Location Address433 BOLIVAR ST APT BNew Orleans, LA 70112-7021
Mailing Address1449 Magazine St, Apt BNew Orleans, LA 70130-4238 · (810) 618-3034
Phone(810) 618-3034
Sole ProprietorNo
Enumeration DateMay 7, 2019
Last NPPES UpdateJune 25, 20203 updates tracked since enumeration
NPPES CertifiedJune 25, 2020
✔ NPI 1013572981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

433 BOLIVAR ST APT B, New Orleans, LA 70112
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Secondary Practice Location 1

Location 11900 Perdido St Apt A72New Orleans, LA 70112-1378 · Phone (810) 618-3034

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angellica Gordon's NPI number?

The NPI number for Angellica Gordon is 1013572981. It was assigned to this individual provider in the NPPES registry on May 7, 2019.

Where is Angellica Gordon located?

Angellica Gordon practices at 433 Bolivar St Apt B, New Orleans, LA 70112. The listed phone number is (810) 618-3034.

What is Angellica Gordon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Angellica Gordon was last updated on June 25, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.