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KELLEY LACEY GORDON RN
NPI 1477341618
Registered Nurse - School in Rancho Cordova, CA

Active since April 28, 2025
1965 BIRKMONT DR, RANCHO CORDOVA, CA 95742(916) 294-9120 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Kelley Lacey Gordon Rn NPPES

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

KELLEY LACEY GORDON RN (NPI 1477341618) is an individual school provider in Rancho Cordova, California, licensed in California (670085) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1477341618
Entity TypeIndividualFemale
Primary Taxonomy163WS0200X
Provider Legal NameKELLEY LACEY GORDONCredential: RN
Location Address1965 BIRKMONT DRRancho Cordova, CA 95742-6407
Mailing Address2139 Huntington CirEl Dorado Hills, CA 95762-5825 · (916) 508-5186
Phone(916) 294-9120
Sole ProprietorYes
Enumeration DateApril 28, 2025
NPPES CertifiedApril 28, 2025
✔ NPI 1477341618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · SchoolNursing Service Providers
Taxonomy Code163WS0200X
License✔ Licensed in CA · 670085
1965 BIRKMONT DR, Rancho Cordova, CA 95742
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

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

MISS TRISHA LYNN VALDEZ
Occupational Therapist
1965 BIRKMONT DR
RANCHO CORDOVA, CA 95742
Sacramento County (916) 294-9007
KAREN ARLENE PASSERINO
Physical Therapist (Pediatrics)
1965 BIRKMONT DR
RANCHO CORDOVA, CA 95742
Sacramento County (916) 934-3212
LAURA MARIA HOLFORD RN
Registered Nurse
1965 BIRKMONT DR
RANCHO CORDOVA, CA 95742
Sacramento County (916) 294-9000
DIANNE AQUINO BSN, RN
Registered Nurse
1965 BIRKMONT DR
RANCHO CORDOVA, CA 95742
Sacramento County (916) 294-9013
AMANDA TURKES RN
Registered Nurse (School)
1965 BIRKMONT DR
RANCHO CORDOVA, CA 95742
Sacramento County (916) 294-9000
KATIE SALCONE
Registered Nurse
1965 BIRKMONT DR
RANCHO CORDOVA, CA 95742
Sacramento County (916) 294-9013
KEVIN SMITH
Marriage & Family Therapist
1965 BIRKMONT DR
RANCHO CORDOVA, CA 95742
Sacramento County (916) 294-9000
EMMA MORGAN NORVELL OTD, OTR/L
Occupational Therapist
1965 BIRKMONT DR
RANCHO CORDOVA, CA 95742
Sacramento County (916) 294-9025

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 Kelley Gordon's NPI number?

The NPI number for Kelley Gordon is 1477341618. It was assigned to this individual provider in the NPPES registry on April 28, 2025.

Where is Kelley Gordon located?

Kelley Gordon practices at 1965 Birkmont Dr, Rancho Cordova, CA 95742. The listed phone number is (916) 294-9120.

What is Kelley Gordon's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in School, with taxonomy code 163WS0200X.

When was this NPI record last updated?

The NPPES record for Kelley Gordon was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.