KATHLEEN GORMAN (NPI# 1114984093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114984093 |
| Entity Type | Individual |
| Full Name | KATHLEEN GORMAN |
| Credential | NNP |
| Practice Address |
901 E Willetta St Ste. 2503 Phoenix AZ 85006-2727 |
| Mailing Address |
8342 W Maya Dr Peoria AZ 85383-3822 |
| Practice Telephone | 6022395166 |
| Practice Fax Number | 6022392307 |
| Mailing Telephone | 6234920390 |
| Mailing Fax Number | 6234920390 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2015-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
096168 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538514120 | Kathleen Mary Gorman | Psychiatry & Neurology | 225 E Chicago Avenue, Chicago, IL 60611 | 2016-05-02 |
| 1285165977 | Kathleen Gorman | Chiropractor | 207 N Dennis St, Kennewick, WA 99336-3129 | 2017-03-23 |
| 1790222412 | Kathleen Gorman | Occupational Therapist | 3801 Miranda Ave, Palo Alto, CA 94304 | 2017-01-20 |
| 1598100307 | Kathleen Ann Gorman | Pediatrics | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2013-05-07 |
| 1316158694 | Kathleen M Gorman | Physical Therapist | 3950 3rd St N, Suite D, St Petersburg, FL 33703-6123 | 2007-05-25 |
| 1861616351 | Kathleen E. Gorman | Pediatrics | 3525 Prytania St, Suite 602, New Orleans, LA 70115-3500 | 2007-04-13 |
| 1063461168 | Kathleen J Gorman | Social Worker | 75-5751 Kuakini Hwy Ste 101a, Kailua Kona, HI 96740-1705 | 2006-05-08 |
| Street Address |
901 E WILLETTA ST STE. 2503 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-2727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609868272 | Geri R Hall | Clinical Nurse Specialist | 901 E Willetta St, Phoenix, AZ 85003 | 2005-08-18 |
| 1841702743 | Michelle James | Clinical Neuropsychologist | 901 E Willetta St, Phoenix, AZ 85006-2727 | 2017-10-31 |
| 1730624701 | Alisson Gilbert | Nurse Practitioner | 901 E Willetta St, Phoenix, AZ 85006-2727 | 2016-12-30 |
| 1558813469 | Edwina Carrion-loucks | Social Worker | 901 E Willetta St, Phoenix, AZ 85006-2727 | 2016-10-26 |
| 1215322847 | Jacquelynn Nicosia Copeland | Clinical Neuropsychologist | 901 E Willetta St, Phoenix, AZ 85006-2727 | 2015-03-31 |
| 1265749824 | Susan C Favaro | Social Worker | 901 E Willetta St, Phoenix, AZ 85006-2727 | 2010-09-02 |
| 1952532475 | Po-heng Tsai | Psychiatry & Neurology | 901 E Willetta St, Phoenix, AZ 85006 | 2009-07-31 |
| 1558575035 | James Seward | Clinical Neuropsychologist | 901 E Willetta St, Phoenix, AZ 85006-2727 | 2007-05-10 |
| 1992929624 | Allison Leigh Perrin | Internal Medicine | 901 E Willetta St, Phoenix, AZ 85006-2727 | 2007-04-12 |
| 1780625210 | Michael John Lang | Pediatrics | 901 E Willetta St, Ste 2503, Phoenix, AZ 85006-2727 | 2006-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992946065 | Kelly Ann Woody | Nurse Practitioner | 300 W Clarendon Ave., # 375, Phoenix, AZ 85013-3420 | 2009-03-18 |
| 1588833537 | Nancy C Broc | Nurse Practitioner | 300 West Clarendon Ave, Suite 375, Phoenix, AZ 85013-3498 | 2008-02-25 |
| 1578703542 | Megan Marie Shea | Nurse Practitioner | 300 W Clarendon Ave Ste 375, Phoenix, AZ 85013-3476 | 2009-03-03 |
| 1912953944 | Frances Strodtbeck | Nurse Practitioner | 4212 N 16th St, Phoenix, AZ 85016 | 2006-05-25 |
| 1952354854 | Sherry Leanne Phillips | Nurse Practitioner | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2006-05-19 |
| 1326005281 | Joan L Newby | Nurse Practitioner | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2006-04-26 |
| 1598721110 | Cynthia Ann Grimes | Nurse Practitioner | 901 E Willetta St, Rm 3305, Phoenix, AZ 85006-2727 | 2006-04-22 |
| 1740245810 | Carolyn Louise Langdon | Nurse Practitioner | 901 E Willetta St, Rm. 3503, Phoenix, AZ 85006-2727 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013158195 | Lisa M Dimenna | Nurse Practitioner | 1501 N Campbell Ave, 3341, Tucson, AZ 85724-5073 | 2009-03-18 |
| 1598912289 | Susan Beaupre | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-08-25 |
| 1174770853 | Susan Moore | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-08-25 |
| 1336396019 | Karen Duran | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-08-25 |
| 1235386913 | George Destefano | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-08-25 |
| 1104073881 | Antoinette Stouvenel | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-08-25 |
| 1902053689 | Karen Graves | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-08-25 |
| 1770768855 | Neonatal Nurse Practitioners | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-01-08 |
| 1649317868 | Jamie Lee Friedel | Nurse Practitioner | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2007-01-30 |
| 1013085893 | Kathryn Sue Murray | Nurse Practitioner | 310 N Wilmot Rd, Tucson, AZ 85711-2618 | 2006-12-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KATHLEEN GORMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.