KELLY KATHLEEN GORDON (NPI# 1891022182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891022182 |
| Entity Type | Individual |
| Full Name | KELLY KATHLEEN GORDON |
| Credential | ARNP) |
| Practice Address |
75 Nw Dogwood St Suite B Issaquah WA 98027-3210 |
| Practice Telephone | 8002307526 |
| Practice Fax Number | 4253690725 |
| Mailing Telephone | 8002307526 |
| Mailing Fax Number | 4253690725 |
| Enumeration Date | 2009-11-08 |
| Last Update Date | 2009-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
AP60112317 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124446505 | Kelly Gordon | Psychiatry & Neurology | 13001 E. 17th Place, Campus Box F546, Bldg. 500, Room E2322, Aurora, CO 80045 | 2014-04-02 |
| 1689811846 | Kelly Alice Gordon | Counselor | 11610 Dancing River Dr, Apt #201, Venice, FL 34292-4131 | 2009-01-09 |
| 1073762704 | Kelly Veronica Gordon | Social Worker | 18947 John J Williams Hwy Unit 212, Rehoboth Beach, DE 19971-4476 | 2008-09-18 |
| 1194349019 | Kelly Marie Gordon | Nurse Practitioner | 1000 E Tarpon Ave, Tarpon Springs, FL 34689-5438 | 2020-06-05 |
| 1285109199 | Kelly Suzanne Gordon | Occupational Therapist | 1101 W University Dr, Rochester, MI 48307-1863 | 2018-10-06 |
| 1598293227 | Kelly Gordon | Case Manager/Care Coordinator | 111 W Booth Rd, Searcy, AR 72143 | 2017-05-25 |
| 1982148912 | Kelly Gordon | Social Worker | 333 9th St, Atlantic Beach, FL 32233-5437 | 2016-12-09 |
| 1003217514 | Kelly Gordon | Counselor | 1280 Main St, Buffalo, NY 14209-1912 | 2014-09-16 |
| 1821376070 | Kelly A Gordon | Speech-Language Pathologist | 42 Huskie Ln, Malone, NY 12953-2451 | 2011-07-21 |
| 1063541829 | Kelly Lynn Gordon | Speech-Language Pathologist | 40 Duke Medicine Cir, Clinic 1i, Durham, NC 27710-4000 | 2007-03-05 |
| Street Address |
75 NW DOGWOOD ST SUITE B |
| City | ISSAQUAH |
| State | WA |
| Zip Code | 98027-3210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861524597 | Christina Lynn Howard | Nurse Practitioner | 75 Nw Dogwood St, Suite B, Issaquah, WA 98027-3210 | 2007-03-09 |
| 1215165345 | Seow-ling Chua | Marriage & Family Therapist | 75 Nw Dogwood St, Ste B, Issaquah, WA 98027-3210 | 2009-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281840 | Cascade Hand & Orthopedic Rehab, Inc. | Clinic/Center | 1301 4th Avenue Nw, Suite 200, Issaquah, WA 98027 | 2020-10-01 |
| 1700494630 | Genevieve S Ward | Counselor | 22500 Se 64th Place, Building G, Suite 150, Issaquah, WA 98027 | 2020-07-16 |
| 1891338604 | Amy Mezulis | Psychologist | 1740 Nw Maple St. #210, Issaquah, WA 98027 | 2019-10-24 |
| 1578055083 | Vivian Yu-en Hsiao | Physical Therapist | 1301 4th Ave Nw Ste 300, Issaquah, WA 98027 | 2018-05-31 |
| 1831698000 | Peter James Carlson | Physical Therapist | 22500 Se 64th Place, Building G, Suite 115, Issaquah, WA 98027 | 2018-02-02 |
| 1902323553 | David Robert Primrose | Dentist | 600 Nw Gilman Blvd Ste B, Issaquah, WA 98027 | 2017-08-24 |
| 1083135446 | Tara Rose | Massage Therapist | 680 Nw Gilman Blvd., Ste. A, Issaquah, WA 98027 | 2017-07-06 |
| 1295276194 | Amy Davenport | Occupational Therapist | 1871 Nw Gilman Blvd #2, Issaquah, WA 98027 | 2017-03-13 |
| 1942751771 | Krista L Gibbons | Counselor | 1700 Nw Blvd, Suite #200, Issaquah, WA 98027 | 2016-10-17 |
| 1376903237 | Kari Wathen Torres | Occupational Therapist | 710 Nw Juniper St Ste 100, Issaquah, WA 98027 | 2016-03-03 |
| Find all providers in zip 98027 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720074321 | Judith Lynn Unger | Nurse Practitioner | 6520 226th Pl Se, Suite 120, Issaquah, WA 98027-8969 | 2005-09-20 |
| 1366793150 | Christa N Ross | Nurse Practitioner | 751 Ne Blakely Dr Ste 2030, Suite 2030, Issaquah, WA 98029-6201 | 2012-09-20 |
| 1295989283 | Jennifer Marie Lynn | Nurse Practitioner | 751 Ne Blakely Dr, Suite 2030, Issaquah, WA 98029-6201 | 2008-11-04 |
| 1447259692 | Cheryl R Axford-lockhart | Nurse Practitioner | 751 Ne Blakely Dr, Suite 2030, Issaquah, WA 98029-6201 | 2005-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190835 | Women's Mobile Medical. LLC | Nurse Practitioner | 701 E 49th St, Tacoma, WA 98404-2025 | 2020-10-02 |
| 1992323018 | Megan Louise Bedker | Nurse Practitioner | 3003 80th Ave Se, Mercer Island, WA 98040-2915 | 2020-07-07 |
| 1114557196 | Scarlett Owen Duncan | Nurse Practitioner | 27121 174th Pl Se Ste 201, Covington, WA 98042-4939 | 2020-01-18 |
| 1346889250 | Kaylee Meilahn | Nurse Practitioner | 219 State Ave. N, Suite 220, Kent, WA 98030 | 2019-12-26 |
| 1508403858 | New U Women's Clinic & Aesthetics Pllc | Nurse Practitioner | 35 S Louisiana St, Suite A120, Kennewick, WA 99336 | 2019-12-05 |
| 1174008106 | Nicole Ann Bazzetta | Nurse Practitioner | 1901 S Union Ave Ste 2006, Tacoma, WA 98405-1702 | 2018-09-25 |
| 1174000178 | Emily K Ernst | Nurse Practitioner | 4525 S 19th St, Tacoma, WA 98405-1106 | 2018-07-23 |
| 1770079493 | Erica Lauren Nunez | Nurse Practitioner | 5020 Roosevelt Way Ne Ste 1, Seattle, WA 98105-3644 | 2018-07-05 |
| 1659881001 | Kathryn Conkling | Nurse Practitioner | 10210 State Ave, Marysville, WA 98271-7214 | 2017-10-11 |
| 1033575113 | Amanda Jane Holen | Nurse Practitioner | 202 State Avenue North, Kent, WA 98031 | 2016-01-05 |
| Find all providers with the same taxonomy | ||||
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| 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.