Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kerisha Gooden-Gordon

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1639053895

Kerisha Gooden-Gordon is a Nurse Practitioner in Staunton, Virginia. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Massachusetts and Virginia.

Years since qualifying
2
Licensed in
MA, VA
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

103 Valley Center Dr
Staunton, VA 24401-5080
Phone: (540) 415-8465
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN10039674 (MA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 0024192459 (VA)

Record details

NPI number1639053895
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 1, 2025
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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