MRS. KELLY LYNN GORDON (NPI# 1063541829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063541829 |
| Entity Type | Individual |
| Full Name | MRS. KELLY LYNN GORDON |
| Credential | SLP |
| Practice Address |
40 Duke Medicine Cir Clinic 1i Durham NC 27710-4000 |
| Mailing Address |
Po Box 3887 Bldg. # 600 Durham NC 27710-0001 |
| Practice Telephone | 9196843451 |
| Mailing Telephone | 9196846271 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2015-04-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 6510 | NC | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS | 1443P | 01 |
| NC | 7412614 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124446505 | Kelly Gordon | Psychiatry & Neurology | 13001 E. 17th Place, Campus Box F546, Bldg. 500, Room E2322, Aurora, CO 80045 | 2014-04-02 |
| 1689811846 | Kelly Alice Gordon | Counselor | 11610 Dancing River Dr, Apt #201, Venice, FL 34292-4131 | 2009-01-09 |
| 1073762704 | Kelly Veronica Gordon | Social Worker | 18947 John J Williams Hwy Unit 212, Rehoboth Beach, DE 19971-4476 | 2008-09-18 |
| 1194349019 | Kelly Marie Gordon | Nurse Practitioner | 1000 E Tarpon Ave, Tarpon Springs, FL 34689-5438 | 2020-06-05 |
| 1285109199 | Kelly Suzanne Gordon | Occupational Therapist | 1101 W University Dr, Rochester, MI 48307-1863 | 2018-10-06 |
| 1598293227 | Kelly Gordon | Case Manager/Care Coordinator | 111 W Booth Rd, Searcy, AR 72143 | 2017-05-25 |
| 1982148912 | Kelly Gordon | Social Worker | 333 9th St, Atlantic Beach, FL 32233-5437 | 2016-12-09 |
| 1003217514 | Kelly Gordon | Counselor | 1280 Main St, Buffalo, NY 14209-1912 | 2014-09-16 |
| 1821376070 | Kelly A Gordon | Speech-Language Pathologist | 42 Huskie Ln, Malone, NY 12953-2451 | 2011-07-21 |
| 1891022182 | Kelly Kathleen Gordon | Nurse Practitioner | 75 Nw Dogwood St, Suite B, Issaquah, WA 98027-3210 | 2009-11-08 |
| Street Address |
40 DUKE MEDICINE CIR CLINIC 1I |
| City | DURHAM |
| State | NC |
| Zip Code | 27710-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407858343 | John M Reynolds | Internal Medicine | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2005-08-11 |
| 1235757659 | Shelby Taylor Matthews | Audiologist | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2020-07-13 |
| 1437774155 | Rebecca Lynn Gregory | Dietitian, Registered | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2020-06-09 |
| 1427673276 | Wendy Wilson Bingham | Dietitian, Registered | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2020-06-08 |
| 1861014524 | Deborah Anne Zimmerman | Registered Nurse | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2020-05-15 |
| 1851913131 | Autumn Scales | Speech-Language Pathologist | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2020-05-10 |
| 1780204123 | Katherine Conrad | Audiologist | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2020-04-24 |
| 1639708696 | Jaeon Kwak | Student in an Organized Health Care Education/Training Program | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2020-04-02 |
| 1386272458 | Joi Camille Spaulding | Student in an Organized Health Care Education/Training Program | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2020-04-01 |
| 1255969887 | Connor Lewis Pratson | Student in an Organized Health Care Education/Training Program | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2020-03-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978334 | Anna Rapoport | Nurse Practitioner | Duke Medicine Center, 40 Duke Medicine Circle, Durham, NC 27710 | 2019-12-08 |
| 1649764846 | Kelly Johanna Valencia | Nurse Practitioner | 2301 Erwin Road Duke North Box # 3677, Durham, NC 27710 | 2018-06-20 |
| 1437656717 | Hugh Khoi Quach | Student in an Organized Health Care Education/Training Program | 2301 Erwin Road, Durham, Durham, NC 27710 | 2018-04-12 |
| 1154827046 | Shannon M Beeley | Registered Nurse | Duke Rheumatology Clinic 40 Medicine Circle Cinic 1j, Durham, NC 27710 | 2018-04-01 |
| 1669902862 | Hilary Kristina Dietz | Student in an Organized Health Care Education/Training Program | 30 Duke Medicine Circle Drive, Morris Building Room 25169, Durham, NC 27710 | 2017-06-20 |
| 1174071443 | Gabriel Streisfeld | Physical Therapist | 2301 Erwin Rd Dumc 3965, Durham, NC 27710 | 2016-09-15 |
| 1568810505 | Amber Mcvey | Nurse Practitioner | 04276 Hospital South Box 3677, Durham, NC 27710 | 2016-06-01 |
| 1891149696 | Tiziana T Coppola | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27710 | 2016-04-18 |
| 1568822864 | Nicole Smith | Nurse Practitioner | 2301 Erwin Rd Box 3116, Durham, NC 27710 | 2016-02-29 |
| 1548656150 | Jesse David Rhodes | Hospitalist | Hospital Medicine, Duke University Hospital, 40 Duke Medicine Circle, Durham, NC 27710 | 2015-04-09 |
| Find all providers in zip 27710 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667714 | Evans Avt Pllc | Speech-Language Pathologist | 8 Brynhurst Ct, Durham, NC 27713-9357 | 2020-10-20 |
| 1467050443 | Speech Therapy & Allied Resources, Pllc | Speech-Language Pathologist | 1105 Englewood Ave, Durham, NC 27701-1125 | 2020-10-13 |
| 1700493509 | John Wilson Irwin | Speech-Language Pathologist | 19 Saint James Ct, Durham, NC 27713-9408 | 2020-09-25 |
| 1972119048 | Savikaluck Risza Konkankit | Speech-Language Pathologist | 1010 Stillwell Dr Unit 2401, Durham, NC 27707-6279 | 2020-09-23 |
| 1548870157 | Jessikah Grossman Manganello | Speech-Language Pathologist | 1531 S Roxboro St, Durham, NC 27707-2359 | 2020-08-07 |
| 1346850435 | Rebecca Caroline Wellons | Speech-Language Pathologist | 1600 Anderson St Apt C10, Durham, NC 27707-1458 | 2020-08-04 |
| 1750905493 | Playba, Pllc | Speech-Language Pathologist | 405 Everett Pl, Durham, NC 27701-1210 | 2020-05-28 |
| 1750910782 | Megan Nicole Ocampo | Speech-Language Pathologist | 5420 Mccormick Rd, Durham, NC 27713-2902 | 2020-04-02 |
| 1043847478 | Anne Eiseman | Speech-Language Pathologist | 37 Ffrost Dr, Durham, NH 03824-3107 | 2020-03-25 |
| 1336770700 | Whitney Demuro | Speech-Language Pathologist | Duke University & Health 40 Duke Medicine Circle, Durham, NC 27710-0001 | 2020-02-04 |
| Find all providers in DURHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.