Active NPI
Marcia Smith Gordon, ARNP
- Nurse Practitioner
- Bellevue, WA
National Provider Identifier
1518934199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP30001573
- Practice address
- 1632 116TH Ave NE
Suite B
Bellevue, WA 98004-3035 - Phone
- (425) 454-7546
- Fax
- (425) 637-8133
- NPI assigned
- Mar 2, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP30001573 | WA | Primary |
Addresses
Primary practice location
1632 116TH Ave NE
Suite B
Bellevue, WA 98004-3035
Mailing address
1632 116TH Ave NE
Suite B
Bellevue, WA 98004-3035
Phone (425) 454-7546
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 |
|---|---|---|---|
| AP30001573 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Russell B Caldwell MD PC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Dermatology Physician
- Bellevue, WA
- NPI 1962500181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1518934199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1632 116TH AVE NE",
"address_2": "SUITE B",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043035",
"telephone_number": "425-454-7546",
"fax_number": "425-637-8133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1632 116TH AVE NE",
"address_2": "SUITE B",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043035",
"telephone_number": "425-454-7546",
"fax_number": "425-637-8133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "MARCIA",
"middle_name": "SMITH",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP30001573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.