MRS. CARRIE GORDY
NPI 1003955477
Nurse Practitioner - Pediatrics in Lexington, KY

Active since February 05, 2007
1135 RED MILE PLACE, LEXINGTON, KY 40504(859) 288-4053(859) 288-4084 Get Directions Write a Review

NPPES record last updated: August 4, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Carrie Gordy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CARRIE GORDY (NPI 1003955477) is an individual pediatrics provider in Lexington, Kentucky, licensed in Kentucky (2358-P) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1003955477
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. CARRIE GORDY
Location Address1135 RED MILE PLACELexington, KY 40504
Mailing Address1135 Red Mile PlaceLexington, KY 40504 · (859) 288-4053 · Fax (859) 288-4084
Fax(859) 288-4084
Sole ProprietorNo
Enumeration DateFebruary 5, 2007
Last NPPES UpdateAugust 4, 2009
NPI 1003955477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in KY · 2358-P
1135 RED MILE PLACE, Lexington, KY 40504

Other Identifiers 1

Medicaid78002011KY

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
1135 RED MILE PLACE
LEXINGTON, KY 40504
Nurse Practitioner (Pediatrics)
1135 RED MILE PLACE
LEXINGTON, KY 40504
Clinic/Center (Primary Care)
1135 RED MILE PLACE
LEXINGTON, KY 40504
Pediatrics
1135 RED MILE PLACE
LEXINGTON, KY 40504
Nurse Practitioner (Pediatrics)
1135 RED MILE PLACE
LEXINGTON, KY 40504
Pediatrics
1135 RED MILE PLACE
LEXINGTON, KY 40504

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carrie Gordy's NPI number?

The NPI number for Carrie Gordy is 1003955477. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Carrie Gordy located?

Carrie Gordy practices at 1135 Red Mile Place, Lexington, KY 40504. The listed phone number is (859) 288-4053.

What is Carrie Gordy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Carrie Gordy was last updated on August 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.