Carolyn Doughty Gordan, PNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

300060 Issued in NC

Practice address

433 W Meadowview Rd
Greensboro, NC 27406-4316

Phone

(336) 370-9091

Fax

(336) 370-4922

NPI assigned

Sep 1, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1356335657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 E WENDOVER AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056712",
            "telephone_number": "336-272-1050",
            "fax_number": "336-272-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 W MEADOWVIEW RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274064316",
            "telephone_number": "336-370-9091",
            "fax_number": "336-370-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDAN",
        "first_name": "CAROLYN",
        "middle_name": "DOUGHTY",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-01",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "300060",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "300060",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZN000012",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert G Goodrich, M.D.
• Emma Goodson
• Heather Goodson
• Denice Goodwill, PTA
• Joseph Donati Goodwin, DO
• Patricia Lynn Gordon-Willis, D.M.D
• Christopher Alan Gordon, R.PH.
• Dystine Tychena Gordon
• Leteyona Gordon
• Stuart Irving Gordon, PHARMACIST

• Nurse Practitioner in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.