Individual provider Active NPI

Catherine Rice Gordon, NP

  • Adult Health Nurse Practitioner
  • Washington, DC
National Provider Identifier
1407378151
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN1012548 Issued in DC
Practice address
1711 Massachusetts Ave NW Apt 208
Washington, DC 20036-2101
Phone
(202) 667-4974
NPI assigned
Jul 14, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN1012548 DC Primary

Addresses

Primary practice location

1711 Massachusetts Ave NW Apt 208
Washington, DC 20036-2101

Mailing address

1711 Massachusetts Ave NW Apt 208
Washington, DC 20036-2101
Phone (202) 667-4974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191119001841 DC Practitioner - Nurse Practitioner 0042642761 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN1012548DCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Mental Health Association CurrentSince Oct 4, 2019 Accepting new patients

Locations

1001 Lawrence St NE
Washington, DC 20017
Phone (202) 481-1440

924 G St NW
Washington, DC 20001

Organizations & group practices 1

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": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1407378151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 MASSACHUSETTS AVE NW APT 208",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200362101",
            "telephone_number": "202-667-4974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 MASSACHUSETTS AVE NW APT 208",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200362101",
            "telephone_number": "202-667-4974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "CATHERINE",
        "middle_name": "RICE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "DC",
            "license": "RN1012548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.