Gordon A Herrick II, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN60400223 Issued in WA

Practice address

813 26TH St SE
Auburn, WA 98002-7706

Phone

(253) 279-7919

Fax

(253) 737-4437

NPI assigned

Feb 26, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Angel Haven by the Creek LLC

  • Registered Nurse
  • Auburn, WA
  • NPI 1841000346
  NPD Authorized official

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742688000000",
    "number": "1285094698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20706 61ST ST E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983916137",
            "telephone_number": "253-279-7919",
            "fax_number": "253-737-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 26TH ST SE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980027706",
            "telephone_number": "253-279-7919",
            "fax_number": "253-737-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRICK",
        "first_name": "GORDON",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-26",
        "last_updated": "2025-03-23",
        "certification_date": "2025-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60400223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travon Alexis-Monet Hennings, MA
• Megan Lee Henry, OTR/L
• Paul Kenneth Henry, MED
• Thomas Michael Henry, DPM
• Sandra Andrea Hernandez
• Brian Hervert, SUDP
• Ellen Hess
• Timothy A. Hess, D.D.S.
• Kimberly Heuser
• Russell Kirby Higbie, CDP

• Registered Nurse in Auburn, WA
• Providers in Auburn, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.