Active NPI
Donna Marie Gordy, FNP-C
- Family Nurse Practitioner
- Gold Canyon, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP11178
- Practice address
- 6410 S Kings Ranch Rd Ste 1
Gold Canyon, AZ 85118-7352 - Phone
- (480) 761-2500
- Fax
- (480) 288-2879
- NPI assigned
- Jul 21, 2017
- Last updated
- Sep 15, 2026
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP11178 | AZ | Primary |
Addresses
Primary practice location
6410 S Kings Ranch Rd Ste 1
Gold Canyon, AZ 85118-7352
Mailing address
6410 S Kings Ranch Rd Ste 1
Gold Canyon, AZ 85118-7352
Phone (480) 761-2500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6410 S Kings Ranch Rd
Suite 1
Gold Canyon, AZ 85118-7352
Phone (480) 761-2500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deseret Medical Associates PLC | Current | Accepting new patients | |
| Summit Medical Group Arizona LLC | Past | Accepting new patients | |
| Deseret Family Practice, LTD. | Past | Accepting new patients |
Locations
6410 S Kings Ranch Rd
Ste 1
Gold Canyon, AZ 85118
Phone (480) 761-2500
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Gold Canyon, AZ
- NPI 1962989244
-
dba Deseret Family Medicine
- Multi-Specialty Clinic/Center
- Mesa, AZ
- NPI 1215960638
-
- Family Medicine Physician
- Glendale, AZ
- NPI 1053810622
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Choice Health at Home
- Home Health Agency
- Scottsdale, AZ
- NPI 1154898542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789430400000",
"number": "1578086443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6410 S KINGS RANCH RD STE 1",
"city": "GOLD CANYON",
"state": "AZ",
"postal_code": "851187352",
"telephone_number": "480-761-2500",
"fax_number": "480-288-2879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6410 S KINGS RANCH RD STE 1",
"city": "GOLD CANYON",
"state": "AZ",
"postal_code": "851187352",
"telephone_number": "480-761-2500",
"fax_number": "480-288-2879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDY",
"first_name": "DONNA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-21",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP11178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gold Canyon, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.