Katherine Gordon, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085-008808 Issued in IL

Practice address

5251 DTC Pkwy Ste 200
Greenwood Village, CO 80111-2731

Phone

(303) 779-9633

NPI assigned

Nov 15, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: katherine.gordon.p2@direct.toa.nextgenshare.com
• Direct secure messaging: katherine.gordon.p1@direct.toa.nextgenshare.com
• Direct secure messaging: katherine.gordon.p3@direct.toa.nextgenshare.com

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1740825504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5251 DTC PKWY STE 200",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112731",
            "telephone_number": "303-779-9633",
            "fax_number": "303-221-0981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5251 DTC PKWY STE 200",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112731",
            "telephone_number": "303-779-9633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "KATHERINE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-15",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-008808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Margaret Goodson, MD
• Cheri Lynae Goodwin, LPC, CAC III
• Eric Goosman, CRNA
• Sally Gordier, LMT
• Andrew C Gordon, D.O.
• Laura K Gordon, D.O.
• Kelly Gorman, MS CCC SLP
• Sarah Elizabeth Gorn, DO
• Stephen Mitchell Gorshow, M.D.
• Roberta K Gorsuch, LPC

• Physician Assistant in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.