SHELLEY MARIE GORDON
NPI 1235645276
Nurse Practitioner - Family in Orlando, FL

Active since December 27, 2017
6000 ELLENOR DR., ORLANDO, FL 32809(407) 613-5555 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2021, Dec 27, 2017 (2 updates tracked since 2017).

About Shelley Marie Gordon NPPES

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

SHELLEY MARIE GORDON (NPI 1235645276) is an individual family provider in Orlando, Florida, licensed in Florida (9279224) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1235645276
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHELLEY MARIE GORDON
Location Address6000 ELLENOR DR.Orlando, FL 32809
Mailing Address5612 Escalante Canyon DrKissimmee, FL 34758-1729
Sole ProprietorYes
Enumeration DateDecember 27, 2017
Last NPPES UpdateSeptember 17, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2021
NPI 1235645276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · 9279224
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 2019081903 (FL)
6000 ELLENOR DR., Orlando, FL 32809

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 Shelley Gordon's NPI number?

The NPI number for Shelley Gordon is 1235645276. It was assigned to this individual provider in the NPPES registry on December 27, 2017.

Where is Shelley Gordon located?

Shelley Gordon practices at 6000 Ellenor Dr., Orlando, FL 32809. The listed phone number is (407) 613-5555.

What is Shelley Gordon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Shelley Gordon was last updated on September 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.