Olivia Gordon
Registered Nurse in Raleigh, NC. Individual provider (NPI-1).
NPI number1962331850
StatusActive
Last updated in NPPESMay 16, 2026
Details
- NPI
- 1962331850
- Entity type
- Individual (NPI-1)
- Name
- Olivia Gordon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 16, 2026
- Certification date
- May 16, 2026
- Last updated
- May 16, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 337152 | NC | Yes |
Practice location
3100 Duraleigh Rd Ste 300Raleigh, NC 27612-8104
Phone 919-781-7490
Mailing address
4110 Briargrove Cir Apt 413Raleigh, NC 27607-6558
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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