SHAVONNE L. GORDON LPN
NPI 1144917592
Licensed Practical Nurse in Breaux Bridge, LA

Q: What is Shavonne Gordon's NPI number?

The NPI number for Shavonne Gordon is 1144917592. It was assigned to this individual provider in the NPPES registry on April 18, 2023.

Q: What is Shavonne 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 Shavonne Gordon was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 April 18, 2023

648 LATIOLAIS RD, BREAUX BRIDGE, LA 70517(337) 332-4878(337) 332-4866 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shavonne L. Gordon Lpn NPPES

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

SHAVONNE L. GORDON LPN (NPI 1144917592) is an individual licensed practical nurse in Breaux Bridge, Louisiana, licensed in Louisiana (210430) and active in the NPI registry since April 2023. She maintains a secondary practice location in New Iberia.

NPPES Registry Identity

NPI1144917592

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameSHAVONNE L. GORDONCredential: LPN

Location Address648 LATIOLAIS RDBreaux Bridge, LA 70517-4231

Mailing Address2308 Coteau RdNew Iberia, LA 70560-9172 · (337) 339-0858

Phone(337) 332-4878

Fax(337) 332-4866

Sole ProprietorNo

Enumeration DateApril 18, 2023

NPPES CertifiedApril 18, 2023

✔ NPI 1144917592 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 LA · 210430

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.

648 LATIOLAIS RD, Breaux Bridge, LA 70517

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Secondary Practice Location 1

Location 12308 Coteau RdNew Iberia, LA 70560-9172 · Phone (337) 339-0858

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 Shavonne Gordon's NPI number?

The NPI number for Shavonne Gordon is 1144917592. It was assigned to this individual provider in the NPPES registry on April 18, 2023.

Where is Shavonne Gordon located?

Shavonne Gordon practices at 648 Latiolais Rd, Breaux Bridge, LA 70517. The listed phone number is (337) 332-4878.

What is Shavonne Gordon's specialty?

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

When was this NPI record last updated?

The NPPES record for Shavonne Gordon was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.