Active NPI
Catherine A Gordon, NP
- Advanced Practice Midwife
- Overland Park, KS
National Provider Identifier
1497715437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 64072
- Practice address
- 9209 W. 110TH Street
Building #36
Overland Park, KS 66210 - Phone
- (913) 735-4888
- Fax
- (913) 825-6953
- NPI assigned
- Mar 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 44791 | KS | |
| Advanced Practice Midwife | 367A00000X | 64072 | KS | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 44791 | KS |
Addresses
Primary practice location
9209 W. 110TH Street
Building #36
Overland Park, KS 66210
Mailing address
4920 Bradshaw
Shawnee, KS 66216
Phone (913) 735-4888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100447440G | Other | KS | HEALTHWAVE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44791 | KS | MD | Family Nurse Practitioner |
| 64072 | KS | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shawnee Mission Medical Center Inc | Obstetrics & Gynecology | Past | Accepting new patients |
| Midwives of Kansas City, LLC | Past | Accepting new patients | |
| Shawnee Mission Medical Center, Inc. | Past | Accepting new patients | |
| New Woman Obstetrics and Gynecology, LLC | Obstetrics & Gynecology | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Birthing Clinic/Center
- Shawnee, KS
- NPI 1063701985
-
- Obstetrics & Gynecology Physician
- Overland Park, KS
- NPI 1699249219
Obstetrics & Gynecology
-
- Family Medicine Physician
- Merriam, KS
- NPI 1992735690
Obstetrics & Gynecology
-
- Urgent Care Clinic/Center
- Shawnee, KS
- NPI 1942317854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305590400000",
"number": "1497715437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4920 BRADSHAW",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "66216",
"telephone_number": "913-735-4888",
"fax_number": "913-825-6953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9209 W. 110TH STREET",
"address_2": "BUILDING #36",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "66210",
"telephone_number": "913-735-4888",
"fax_number": "913-825-6953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "CATHERINE",
"middle_name": "A",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-24",
"last_updated": "2011-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "44791",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "KS",
"license": "64072",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "KS",
"license": "44791",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHWAVE",
"identifier": "100447440G",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.