Jamie Gordon, WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

R230295 Issued in MD

Practice address

506 S 5TH Ave
Denton, MD 21629-1380

Phone

(410) 924-0730

NPI assigned

Mar 14, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jamie.gordon.1@31540.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/14061/brand/1/csg/1/fhir/r4

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.

• Delaware Center of Excellence in Obstetrics and Gynecology PA

  • Obstetrics & Gynecology Physician
  • Lincoln, DE
  • NPI 1982086773
  Medicare reassignment NPD
• Empowered Women'S Health & Wellness

  • Women's Health Nurse Practitioner
  • Denton, MD
  • NPI 1871341552
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1639870918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 S 5TH AVE",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216291380",
            "telephone_number": "443-493-7575",
            "fax_number": "443-493-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 S 5TH AVE",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216291380",
            "telephone_number": "410-924-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JAMIE",
        "name_prefix": "Ms.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-14",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "DE",
            "license": "LH-0010272",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MD",
            "license": "R230295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Ellyse Ferguson, NP
• For All Seasons, Inc.
• Melissa Forbes
• Patricia G Gentry, MSW LCSW C
• Golden Dragonfly Acupuncture & Oriental Medicine
• Rajeweni Kumar Govindu, OTR
• Guilder Dialysis LLC
• Sue Ellen Hagie, NP
• Lorraine Hall-Pfaff, RDH
• Gina Beth Hamlin, ACUPUNCTURIST

• Women's Health Nurse Practitioner in Denton, MD
• Providers in Denton, MD by specialty
• Women's Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.