Active NPI
Karen Lee Gordon-Davis, PHD, APRN,BC
- Psychiatric/Mental Health Clinical Nurse Specialist
- Baltimore, MD
National Provider Identifier
1194937532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- R038816
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H2710001 | Other | DC | BLUE CROSS |
| PN28 | Other | MD | BLUE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| R038816 | MD | MD | Psychiatric/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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.