SHIRLEY GORDON RN
NPI 1073531349
Registered Nurse - Cardiac Rehabilitation in Mentor, OH

Q: What is Shirley Gordon's NPI number?

The NPI number for Shirley Gordon is 1073531349. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Q: What is Shirley Gordon's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Cardiac Rehabilitation, with taxonomy code 163WC3500X.

Q: When was this NPI record last updated?

The NPPES record for Shirley Gordon was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 17, 2006

9975 DWAYNE CT, MENTOR, OH 44060(440) 354-1553(440) 354-1553 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shirley Gordon Rn NPPES

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

SHIRLEY GORDON RN (NPI 1073531349) is an individual cardiac rehabilitation provider in Mentor, Ohio, licensed in Ohio (RN 194973) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1073531349

Entity TypeIndividualFemale

Primary Taxonomy163WC3500X

Provider Legal NameSHIRLEY GORDONCredential: RN

Location Address9975 DWAYNE CTMentor, OH 44060-7252

Mailing Address9975 Dwayne CtMentor, OH 44060-7252 · (440) 354-1553 · Fax (440) 354-1553

Phone(440) 354-1553

Fax(440) 354-1553

Sole ProprietorYes

Enumeration DateJuly 17, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1073531349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyRegistered Nurse · Cardiac RehabilitationNursing Service Providers

Taxonomy Code163WC3500X

License✔ Licensed in OH · RN 194973

Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License RN194973 (OH)

Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License RN194973 (OH)

Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License RN 194973 (OH)

Also ListedRegistered Nurse · Home HealthTaxonomy 163WH0200X · License RN194973 (OH)

Also ListedRegistered Nurse · Infusion TherapyTaxonomy 163WI0500X · License RN194973 (OH)

Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License RN 194973 (OH)

Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License RN194973 (OH)

Also ListedRegistered Nurse · SchoolTaxonomy 163WS0200X · License RN194973 (OH)

Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X · License RN 194973 (OH)

9975 DWAYNE CT, Mentor, OH 44060

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Other Identifiers 1

Medicaid2171582OH

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 Shirley Gordon's NPI number?

The NPI number for Shirley Gordon is 1073531349. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Shirley Gordon located?

Shirley Gordon practices at 9975 Dwayne Ct, Mentor, OH 44060. The listed phone number is (440) 354-1553.

What is Shirley Gordon's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Cardiac Rehabilitation, with taxonomy code 163WC3500X.

When was this NPI record last updated?

The NPPES record for Shirley Gordon was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.