Individual provider Active NPI

Catherine A Gordon, NP

  • Advanced Practice Midwife
  • Overland Park, KS
National Provider Identifier
1497715437
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
64072 Issued in KS
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

Updated by the provider on May 17, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100447440GOtherKSHEALTHWAVE

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

LicenseStateTypeSpecialty
44791KSMDFamily Nurse Practitioner
64072KSMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.