SHELLY GORDON
NPI 1366386146
Nurse Practitioner - Family in Southlake, TX
About Shelly Gordon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHELLY GORDON (NPI 1366386146) is an individual family provider in Southlake, Texas, licensed in Texas (1169111) and active in the NPI registry since April 2026.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTHLAKE, TX 76092
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 Shelly Gordon's NPI number?
The NPI number for Shelly Gordon is 1366386146. It was assigned to this individual provider in the NPPES registry on April 14, 2026.
Where is Shelly Gordon located?
Shelly Gordon practices at 2010 E State Highway 114, Southlake, TX 76092. The listed phone number is (817) 893-9200.
What is Shelly 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 Shelly Gordon was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.
