Active NPI
Kathleen Gorman, NNP
- Neonatal Nurse Practitioner
- Burlington, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 101-0134511
- Practice address
- 111 Colchester Ave
Burlington, VT 05401-1473 - Phone
- (802) 847-0000
- NPI assigned
- Apr 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 096168 | AZ | |
| Neonatal Nurse Practitioner | 363LN0000X | 101-0134511 | VT | Primary |
Addresses
Primary practice location
111 Colchester Ave
Burlington, VT 05401-1473
Mailing address
21909 N 120TH Ave
Sun City, AZ 85373-5672
Phone (602) 549-3443
Other practice location 1
901 E Willetta St
Ste. 2503
Phoenix, AZ 85006-2727
Phone (602) 239-5166
Other practice location 2
2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 734-2011
Other practice location 3
1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kgorman124191@ValleyHealth.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, OH, VT, AZ, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1998
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3585 Washington Blvd
Halethorpe, MD 21227-1668
5301 E Grant Rd
Tucson, AZ 85712-2805
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101-0134511 | VT | MD | Neonatal Nurse Practitioner |
| 096168 | AZ | MD | Critical Care Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians - North, LLC | Current | Accepting new patients | |
| Mercy Health Physicians North Specialty Care LLC | Current | Accepting new patients | |
| Winchester Medical Center | Current | Accepting new patients | |
| Mercy Health Physicians-North LLC | Current | Accepting new patients | |
| Winchester Medical Center | Current | Accepting new patients | |
| Winchester Medical Center | Current | Accepting new patients | |
| Winchester Medical Center | Current | Accepting new patients | |
| Shenandoah Valley Pathology Laboratories Inc | Current | Accepting new patients | |
| TMC Medical Network | Current | Accepting new patients | |
| Mercy Health Physicians North Specialty Care LLC | Current | Accepting new patients | |
| Arizona OB GYN Affiliates PC | Past | Accepting new patients |
Locations
2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010
5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344
2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826
2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013
2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283
3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126
1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700
Interoperability endpoints
- kgorman881995@direct.bsmhealth.org
- kgorman467012@direct.uvmhealth.org
- kgorman124191@valleyhealth.direct-ci.com
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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-
- Family Medicine Physician
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-
- Multi-Specialty Clinic/Center
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- NPI 1750832283
-
- Critical Care Medicine (Internal Medicine) Physician
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- NPI 1679711261
-
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1144250176
-
- Customized Equipment (DME)
- Perrysburg, OH
- NPI 1992358766
-
- Customized Equipment (DME)
- Toledo, OH
- NPI 1235891672
-
- Anatomic Pathology & Clinical Pathology Physician
- Winchester, VA
- NPI 1447363114
-
- Pediatrics Physician
- Winchester, VA
- NPI 1013874742
-
- Obstetrics & Gynecology Physician
- Winchester, VA
- NPI 1760433791
-
- Clinical Medical Laboratory
- Winchester, VA
- NPI 1790024909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1114984093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21909 N 120TH AVE",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853735672",
"telephone_number": "602-549-3443",
"fax_number": "623-492-0390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 COLCHESTER AVE",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054011473",
"telephone_number": "802-847-0000"
}
],
"practiceLocations": [
{
"address_1": "901 E Willetta St",
"address_2": "Ste. 2503",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850062727",
"country_code": "US",
"telephone_number": "602-239-5166",
"fax_number": "602-239-2307",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2315 Stockton Blvd",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958172201",
"country_code": "US",
"telephone_number": "916-734-2011",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1840 Amherst St",
"address_purpose": "LOCATION",
"city": "Winchester",
"state": "VA",
"postal_code": "226012808",
"country_code": "US",
"telephone_number": "540-536-8000",
"fax_number": "540-536-7780",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORMAN",
"first_name": "KATHLEEN",
"credential": "NNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "AZ",
"license": "096168",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "VT",
"license": "101-0134511",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kgorman124191@ValleyHealth.direct-ci.com",
"affiliation": "N",
"address_1": "1840 Amherst St",
"city": "Winchester",
"state": "VA",
"country_code": "US",
"postal_code": "226012808",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.