Individual provider · NPI-1

Bridget Nicole Gordon, CCMA,CPT, FMP

Health & Wellness Coach · Louisville, KY

NPI number1245911858
StatusActive
Last updated in NPPESSep 13, 2026

Details

NPI
1245911858
Entity type
Individual (NPI-1)
Name
Miss Bridget Nicole Gordon
Credential
CCMA,CPT, FMP
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 27, 2023
Certification date
Sep 13, 2026
Last updated
Sep 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171400000X Health & Wellness CoachAP-FMFX-2026-NBYHEC–Yes
175L00000X Homeopath––
246RP1900X Technician, Pathology, Phlebotomy26-CPT353–
251E00000X Home Health––
175F00000X Naturopath––
171M00000X Case Manager/Care Coordinator––
174H00000X Health Educator––
247ZC0005X Pathology, Clinical Laboratory Director, Non-physician––
246Q00000X Spec/Tech, Pathology––
251J00000X Nursing Care64173719–

Practice location

4903 Crossing Spring Way
Louisville, KY 40229-1187

Phone 502-922-6653

Mailing address

6844 Bardstown Rd Unit 2144
Louisville, KY 40291-3050

Phone 502-922-6653

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