MS. SHANTEL LYNETTE GORDON
NPI 1184301681
Specialist in Fresh Meadows, NY

Active since June 28, 2023
61-43 186TH STREET, FRESH MEADOWS, NY 11365(917) 557-8636 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Shantel Lynette Gordon NPPES

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

MS. SHANTEL LYNETTE GORDON (NPI 1184301681) is an individual specialist in Fresh Meadows, New York, licensed in New York (2583471) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1184301681
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMS. SHANTEL LYNETTE GORDON
Location Address61-43 186TH STREETFresh Meadows, NY 11365-2710
Mailing Address3515 Grace Ave Apt 2rBronx, NY 10466-5845 · (917) 557-8636
Sole ProprietorNo
Enumeration DateJune 28, 2023
NPPES CertifiedJune 28, 2023
NPI 1184301681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 2583471
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
61-43 186TH STREET, Fresh Meadows, NY 11365

Other Providers at the Same Location NPPES 6

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

Specialist
61-43 186TH STREET
FRESH MEADOWS, NY 11365
Taxi
61-43 186TH STREET, SUITE #408
FRESH MEADOWS, NY 11365
Counselor (Mental Health)
61-43 186TH STREET
FRESH MEADOWS, NY 11365
Taxi
61-43 186TH STREET, SUITE #408
FRESH MEADOWS, NY 11365
Community/Behavioral Health
61-43 186TH STREET
FRESH MEADOWS, NY 11365
Social Worker (Clinical)
61-43 186TH STREET
FRESH MEADOWS, NY 11365

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 Shantel Gordon's NPI number?

The NPI number for Shantel Gordon is 1184301681. It was assigned to this individual provider in the NPPES registry on June 28, 2023.

Where is Shantel Gordon located?

Shantel Gordon practices at 61-43 186th Street, Fresh Meadows, NY 11365. The listed phone number is (917) 557-8636.

What is Shantel Gordon's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Shantel Gordon was last updated on June 28, 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.