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JODY LYNN GORDON ARNP
NPI 1255002614
Nurse Practitioner - Family in Des Moines, IA

Active since September 24, 2021
1111 6TH AVE, DES MOINES, IA 50314(515) 643-2071 Get Directions Write a Review

NPPES record last updated: September 30, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 30, 2021, Sep 24, 2021 (2 updates tracked since 2021).

About Jody Lynn Gordon Arnp NPPES

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

JODY LYNN GORDON ARNP (NPI 1255002614) is an individual family provider in Des Moines, Iowa, licensed in Iowa (A165803) and active in the NPI registry since September 2021. She maintains a secondary practice location in Des Moines.

NPPES Registry Identity

NPI1255002614
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJODY LYNN GORDONCredential: ARNP
Location Address1111 6TH AVEDes Moines, IA 50314-2613
Mailing Address2726 E Cutler AveDes Moines, IA 50320-2162 · (515) 447-9985
Phone(515) 643-2071
Sole ProprietorYes
Enumeration DateSeptember 24, 2021
Last NPPES UpdateSeptember 30, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2021
✔ NPI 1255002614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IA · A165803
1111 6TH AVE, Des Moines, IA 50314
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Secondary Practice Location 1

Location 12726 E Cutler AveDes Moines, IA 50320-2162 · Phone (515) 447-9985

Other Providers at the Same Location NPPES 20

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

MERCY CLINICS, INC
Psychiatry & Neurology (Neurology)
1111 6TH AVE, EAST TOWER SUITE A100
DES MOINES, IA 50314
Polk County (515) 358-0011
TODD EBERLE DO
Family Medicine
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 643-8678
JOSEPH JANSKY DO
Family Medicine
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 612-9595
MYLES KAWAMURA DO
Emergency Medicine
1111 6TH AVE, EMERGENCY DEPARTMENT
DES MOINES, IA 50314
Polk County (515) 247-3211
DR. CODY BRUNCLIK DO
Internal Medicine
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 643-2261
TYLER MUMM DO
Internal Medicine
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 643-2261
DR. MITCHELL R. ERICKSON M.D.
Radiology (Neuroradiology)
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 643-2667
DR. THERESA MARIE WAHLIG M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 643-8409

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 Jody Gordon's NPI number?

The NPI number for Jody Gordon is 1255002614. It was assigned to this individual provider in the NPPES registry on September 24, 2021.

Where is Jody Gordon located?

Jody Gordon practices at 1111 6th Ave, Des Moines, IA 50314. The listed phone number is (515) 643-2071.

What is Jody Gordon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jody Gordon was last updated on September 30, 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.