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NPI · 1174800643 · NPPES-sourced

Kelley Gordon LPN

ActiveLicensed Practical Nurse
NPI Number
1174800643
Type 1 · Individual
Taxonomy Code
164W00000X
Contact
(617) 785-4812
License MA · LN69985
Last Updated
About 14 years ago (Nov 2011)
Enumerated 2011-11-10
Primary practice addressMA · 02149-5608
321 Ferry St, # 6Everett, MA 02149-5608
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About this NPIWhat this record shows.

NPI 1174800643 is registered to Kelley Gordon LPN, a Licensed Practical Nurse practising at 321 Ferry St, # 6 in Everett, Massachusetts. Licensed Practical Nurse is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Kelley Gordon LPN has been enumerated in the National Provider Identifier (NPI) registry since 2011.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2011-11-10
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Kelley Gordon LPN accepts. To confirm in-network status with your specific health plan, contact Kelley Gordon LPN directly at (617) 785-4812.

Frequently asked

Yes. NPI 1174800643 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Licensed Practical Nurse is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (617) 785-4812.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Kelley Gordon LPN is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy164W00000X
Last updated2011-11
Enumerated2011-11-10
StatusActive
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