Individual provider Active NPI

Karen Lee Gordon-Davis, PHD, APRN,BC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Baltimore, MD
National Provider Identifier
1194937532
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
R038816 Issued in MD
Practice address
1501 Sulgrave Ave
206
Baltimore, MD 21209-3654
Phone
(410) 664-6700
NPI assigned
May 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X R038816 MD Primary

Addresses

Primary practice location

1501 Sulgrave Ave
206
Baltimore, MD 21209-3654

Mailing address

1501 Sulgrave Ave
206
Baltimore, MD 21209-3654
Phone (410) 664-6700

Other identifiers 2

IdentifierTypeStateIssuer
H2710001OtherDCBLUE CROSS
PN28OtherMDBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040908000408 MD Practitioner - Certified Clinical Nurse Specialist (CNS) 0749256071 Practice locations: Baltimore, MD

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1501 Sulgrave Ave
Baltimore, MD 21209-3650
Phone (410) 664-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
R038816MDMDPsychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1194937532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 SULGRAVE AVE",
            "address_2": "206",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093654",
            "telephone_number": "410-664-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SULGRAVE AVE",
            "address_2": "206",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093654",
            "telephone_number": "410-664-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON-DAVIS",
        "first_name": "KAREN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PHD, APRN,BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-06",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R038816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "H2710001",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "PN28",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.