Individual provider Active NPI

Anne Marie Gordon, ARNP

  • Family Nurse Practitioner
  • Cherryvale, KS
National Provider Identifier
1285866681
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
TMP139487 Issued in KS
Practice address
116 N Maple St
Cherryvale, KS 67335-1729
Phone
(620) 336-3255
Fax
(620) 336-3755
NPI assigned
Aug 18, 2009
Last updated
Apr 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X TMP139487 KS Primary

Addresses

Primary practice location

116 N Maple St
Cherryvale, KS 67335-1729

Mailing address

116 N Maple St
Cherryvale, KS 67335-1729
Phone (620) 336-3255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20091214000233 KS Practitioner - Nurse Practitioner 5698815264 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44791KSMDFamily Nurse Practitioner
TMP139487KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Labette County Medical Center CurrentSince Sep 18, 2013 Accepting new patients
Labette County Medical Center CurrentSince Sep 18, 2013 Accepting new patients
Labette County Medical Center Current Accepting new patients
Labette County Medical Center Current Accepting new patients
Mercy Kansas Communities, Inc Family Past Accepting new patients
RHC F Allen Moorhead Jr MD Past Accepting new patients
Mercy Kansas Communities Inc Past Accepting new patients
RHC/F. Allen Moorhead Jr. M.D. Past Accepting new patients

Locations

116 N Maple St
Cherryvale, KS 67335
Phone (620) 336-3244

1902 S US Highway 59
Parsons, KS 67357
Phone (620) 421-4880

1902 S US Highway 59
Bldg A
Parsons, KS 67357
Phone (620) 421-2460

1902 S US Highway 59
Bldg D
Parsons, KS 67357
Phone (620) 421-0830

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1285866681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 N MAPLE ST",
            "city": "CHERRYVALE",
            "state": "KS",
            "postal_code": "673351729",
            "telephone_number": "620-336-3255",
            "fax_number": "620-336-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N MAPLE ST",
            "city": "CHERRYVALE",
            "state": "KS",
            "postal_code": "673351729",
            "telephone_number": "620-336-3255",
            "fax_number": "620-336-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-18",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "TMP139487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherryvale, KS

Sources for this page

Verify at the official NPI Registry.