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

Shimeal Gordon

Individual provider Gerontology Nurse Practitioner · NPI 1194568683

Shimeal Gordon is a Nurse Practitioner in Fredericksburg, Virginia. Qualified in 2024, 2 years ago. Licensed in Virginia.

Years since qualifying
2
Licensed in
VA
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

9530 Cosner Dr Ste 200
Fredericksburg, VA 22408-7760
Phone: (540) 373-1331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 0024193790 (VA)
Home Health Registered Nurse Taxonomy 163WH0200X · Licence 0001289844 (VA)

Record details

NPI number1194568683
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 13, 2024
Last updated in NPPESNovember 2, 2025
Certification dateNovember 2, 2025
Mailing address9530 Cosner Dr Ste 200, Fredericksburg, VA 22408-7760

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

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