MICHAEL D GORDON APRN
NPI 1225562622
Clinical Nurse Specialist - Adult Health in Benton, KY

Q: What is Michael Gordon's NPI number?

The NPI number for Michael Gordon is 1225562622. It was assigned to this individual provider in the NPPES registry on April 12, 2017. The provider is also known as Michael D Gordon Aprn.

Q: What is Michael Gordon's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

Q: When was this NPI record last updated?

The NPPES record for Michael Gordon was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 12, 2017

373 BREEZEEL SCHOOL RD, BENTON, KY 42025(307) 247-3661 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 21, 2021, Apr 12, 2017 (2 updates tracked since 2017).

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About Michael D Gordon Aprn NPPES

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

MICHAEL D GORDON APRN (NPI 1225562622) is an individual adult health provider in Benton, Kentucky, licensed in Kentucky (3011246) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1225562622

Entity TypeIndividualMale

Primary Taxonomy364SA2200X

Provider Legal NameMICHAEL D GORDONCredential: APRN

Location Address373 BREEZEEL SCHOOL RDBenton, KY 42025-5376

Mailing Address373 Breezeel School RdBenton, KY 42025-5376 · (270) 703-7320

Phone(307) 247-3661

Sole ProprietorYes

Enumeration DateApril 12, 2017

Last NPPES UpdateOctober 21, 20212 updates tracked since enumeration

NPPES CertifiedOctober 21, 2021

✔ NPI 1225562622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SA2200X

License✔ Licensed in KY · 3011246

373 BREEZEEL SCHOOL RD, Benton, KY 42025

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Other Names 1

Professional Name (2)Michael D Gordon Aprn

Other Identifiers 1

Medicaid7100515830KY

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 Michael Gordon's NPI number?

The NPI number for Michael Gordon is 1225562622. It was assigned to this individual provider in the NPPES registry on April 12, 2017. The provider is also known as Michael D Gordon Aprn.

Where is Michael Gordon located?

Michael Gordon practices at 373 Breezeel School Rd, Benton, KY 42025. The listed phone number is (307) 247-3661.

What is Michael Gordon's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

When was this NPI record last updated?

The NPPES record for Michael Gordon was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.