MEDICARE: ANTWANETTE A GORDON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1205788072
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTWANETTE A GORDON

Provider Business Mailing Address
First Line	:	1861 KENDALL ST NE APT 2
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20002-1652
Country	:	US
Telephone Number	:	202-531-4336
Fax Number	:

Provider Business Practice Location Address
First Line	:	1861 KENDALL ST NE APT 2
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20002-1652
Country	:	US
Telephone Number	:	202-531-4336
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

Similar Medicare Providers

1861543217 — DR. JOHN CARL HECKEL DMD
Practice Location Address:

830 WASHINGTON ST
CAPE MAY, NJ
08204-1652

Practice Phone: 609-884-0515
Practice Fax:

1881958791 — ELIZABETH DJIEYA HANDO
Practice Location Address:

240 QUACKENBOS ST NE
WASHINGTON, DC
20011-1652

Practice Phone: 301-455-8419
Practice Fax:

1043728637 — JOSIANE TIENKOUE YAMASSI
Practice Location Address:

3533 JAY ST NE APT 303
WASHINGTON, DC
20019-1652

Practice Phone: 240-714-6496
Practice Fax:

1174291744 — ELISE TCHAMGA EPSE KONCHIPE
Practice Location Address:

240 QUACKENBOS ST NE
WASHINGTON, DC
20011-1652

Practice Phone: 202-725-0458
Practice Fax:

1851040331 — TOQUINA ISLER
Practice Location Address:

3052 30TH ST SE APT 6
WASHINGTON, DC
20020-1652

Practice Phone: 202-341-5351
Practice Fax:

1821941493 — KWEKU ATTA TOURE
Practice Location Address:

50 FLORIDA AVE NE APT 218
WASHINGTON, DC
20002-6964

Practice Phone: 202-664-6163
Practice Fax:

Directions to “ ANTWANETTE A GORDON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.