Active NPI
Anne Marie Gordon, ARNP
- Family Nurse Practitioner
- Cherryvale, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- TMP139487
- 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, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44791 | KS | MD | Family Nurse Practitioner |
| TMP139487 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Labette County Medical Center | Current | Accepting new patients | |
| Labette County Medical Center | Current | 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.
-
dba LCMC ER Physician Group
- Family Medicine Physician
- Parsons, KS
- NPI 1336133362
-
- Family Medicine Physician
- Neodesha, KS
- NPI 1659377992
-
dba Labette Health Pittsburg Clinic
- Rural Health Clinic/Center
- Pittsburg, KS
- NPI 1205524113
-
dba Specialty Group of Labette Health
- Anesthesiology Physician
- Parsons, KS
- NPI 1811981293
-
dba Labette Health Physician's Group
- Specialist
- Parsons, KS
- NPI 1891845475
-
dba Mercy Clinic Independence
- Family Medicine Physician
- Independence, KS
- NPI 1609842285
-
dba Mercy Clinic Fort Scott
- Family Medicine Physician
- Fort Scott, KS
- NPI 1316048176
-
- Rural Health Clinic/Center
- Neodesha, KS
- NPI 1568602803
-
- Family Medicine Physician
- Neodesha, KS
- NPI 1649410903
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.