KIMBERLY MARIE GORDON LPN
NPI 1073974721
Licensed Practical Nurse in Westhampton Beach, NY

Q: What is Kimberly Gordon's NPI number?

The NPI number for Kimberly Gordon is 1073974721. It was assigned to this individual provider in the NPPES registry on March 9, 2016.

Q: What is Kimberly Gordon's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Gordon was last updated on March 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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 March 09, 2016

7 SEAFIELD LN, WESTHAMPTON BEACH, NY 11978(631) 288-1122 Get Directions Write a Review

NPPES record last updated: March 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kimberly Marie Gordon Lpn NPPES

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

KIMBERLY MARIE GORDON LPN (NPI 1073974721) is an individual licensed practical nurse in Westhampton Beach, New York, licensed in New York (290903) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1073974721

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameKIMBERLY MARIE GORDONCredential: LPN

Location Address7 SEAFIELD LNWesthampton Beach, NY 11978-2714

Mailing Address7 Seafield LnWesthampton Beach, NY 11978-2714 · (631) 288-1122

Phone(631) 288-1122

Sole ProprietorNo

Enumeration DateMarch 9, 2016

✔ NPI 1073974721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 290903

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

7 SEAFIELD LN, Westhampton Beach, NY 11978

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAIME TRAVERS LPN

Licensed Practical Nurse