Gordon Health Clinic LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

GORDON HEALTH CLINIC LLC

Practice address

10586 Sourwood Ave
Waldorf, MD 20603

Phone

(301) 918-5212

NPI assigned

Aug 5, 2026

Last updated

Aug 25, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patina Gordon, NP

Title

Owner

Phone

(301) 918-5212

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1700700408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10586 SOURWOOD AVE",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206035711",
            "telephone_number": "301-918-5212",
            "fax_number": "301-517-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10586 SOURWOOD AVE",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "20603",
            "telephone_number": "301-918-5212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON HEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "PATINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-918-5212",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Brooke Goldstein, LMSW
• Annette Carey Gonsalves, MD
• Jackie Agness Gonzalez
• Kaleena Gonzalez
• Jocelyn Goodwin, LMSW
• Niketa Gordon
• Michael Alan Gorze, DPT
• Emily Gotsch, LCPC
• Laure Cecile Goudiaby, NP
• Graced for the Journey, LLC

• Primary Care Nurse Practitioner in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Primary Care Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.

Verify at the official NPI Registry.