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

MS. Carrie Kallenbach Gordon, NP

Individual provider Family Nurse Practitioner · NPI 1134498926

MS. Carrie Kallenbach Gordon, NP is a Nurse Practitioner in Redwood City, California. Qualified in 1999, 27 years ago. Practices with County of San Mateo, a 316-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
27
Licensed in
CA
In the registry since
2011
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

300 Bradford Street Maguire Correctional Facility
Redwood City, CA 94063
Phone: (650) 363-4241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 12246 (CA)

Record details

NPI number1134498926
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedDecember 22, 2011
Last updated in NPPESSeptember 12, 2013

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice County Of San Mateo — 316 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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