DR. RYAN JAMES GORMAN (NPI# 1922548494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922548494 |
| Entity Type | Individual |
| Full Name | DR. RYAN JAMES GORMAN |
| Credential | DNP, NP-C |
| Practice Address |
6488 Chinook St Bonners Ferry ID 83805-7515 |
| Practice Telephone | 2082678710 |
| Mailing Telephone | 2082678710 |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN-131643 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
60867 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP-03175 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4311 E Lohman Ave, Las Cruces, NM 880118255 | 5755567600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437677648 | Ryan James Gorman | Specialist/Technologist | 8 Madison Ct, Wallkill, NY 12589-3006 | 2017-09-07 |
| 1902242498 | Ryan Rashad Gorman | Licensed Practical Nurse | 1161 Manor Ave Apt 5e, Bronx, NY 10472-3931 | 2013-05-11 |
| 1831492263 | Ryan Gorman | Nurse Practitioner | 4445 Corporation Ln Ste 264, Virginia Beach, VA 23462-3262 | 2010-12-07 |
| 1063660009 | Ryan Bradley Gorman | Veterinarian | 2430 W Main St, Millville, NJ 08332-5213 | 2008-09-03 |
| 1770556367 | Ryan A Gorman | Family Medicine | 11 South Rd Ste 200, Farmington, CT 06032-2483 | 2006-02-13 |
| Street Address |
6488 CHINOOK ST |
| City | BONNERS FERRY |
| State | ID |
| Zip Code | 83805-7515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649261538 | Kelli L Wright | Counselor | 6488 Chinook St, Bonners Ferry, ID 83805-7515 | 2005-10-31 |
| 1700277688 | Christopher Michael Kolobow | Registered Nurse | 6488 Chinook St, Bonners Ferry, ID 83805-7515 | 2015-02-12 |
| 1922152537 | Bonners Ferry Family Medicine, Pllc | Family Medicine | 6488 Chinook St, Bonners Ferry, ID 83805-9517 | 2007-01-22 |
| 1407847379 | Troy W Geyman | Family Medicine | 6488 Chinook St, Bonners Ferry, ID 83805-7523 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366990996 | Nicole Diana Madill | Counselor | 687 Cody Street, Bonners Ferry, ID 83805 | 2016-09-12 |
| 1154770295 | Rachel Meiland Webster | Social Worker | 6686 Augusta Bldg 100, Bonners Ferry, ID 83805 | 2016-06-09 |
| 1205211786 | Robert Rossi | Social Worker | Kaniksu Health Services, 6615 Comanche St, Bonners Ferry, ID 83805 | 2015-07-24 |
| 1154660041 | Mark R. Barker, O.d.p.c. | Optometrist | 7177 Main St., Bonners Ferry, ID 83805 | 2013-02-12 |
| 1003182668 | Jessica Faye Horricks | Dentist | 6615 Commanche, Bonners Ferry, ID 83805 | 2012-03-28 |
| 1427334929 | Tanya Marie Allmaras | Physician Assistant | 6635 Comanche Street, Bonners Ferry, ID 83805 | 2011-10-27 |
| 1114259769 | Joshua Olen Shelton | Chiropractor | 6389 Bonner St., Bonners Ferry, ID 83805 | 2010-02-08 |
| 1558690644 | April C Christman | Social Worker | 6615 Comanche Street, Bonners Ferry, ID 83805 | 2009-12-18 |
| 1407006067 | Denys Taipale-knight | Counselor | 385 Moose Ridge Lane, Bonners Ferry, ID 83805 | 2008-09-19 |
| 1013126457 | John Pierce Brownlee Jr. | Registered Nurse | 6640 Kaniksu Street, Boundary Community Hospital, Bonners Ferry, ID 83805 | 2007-05-22 |
| Find all providers in zip 83805 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326349911 | Sherry Lee Bushnell | Nurse Practitioner | 6448 Chinook St., Bonners Ferry, ID 83805-8380 | 2010-11-12 |
| 1619592912 | Sara Marie Hull | Nurse Practitioner | 6641 Kaniksu St, Bonners Ferry, ID 83805-7532 | 2020-06-11 |
| 1285772699 | Janet Marie Lukehart | Nurse Practitioner | 6641 Kaniksu St, Bonners Ferry, ID 83805-7532 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427152 | Christopher Alan Anthony Nicholas | Nurse Practitioner | 2889 N Chancery Pl, Meridian, ID 83646-7407 | 2020-11-05 |
| 1710588108 | Lauren Proteau | Nurse Practitioner | 310 S Acer Loop, Post Falls, ID 83854-8809 | 2020-11-03 |
| 1568061398 | Nicolette A Eberline | Nurse Practitioner | 4228 W Guard St Bldg 665, Boise, ID 83705-8049 | 2020-10-22 |
| 1023617347 | Kristina Oliver | Nurse Practitioner | 980 W Ironwood Dr Ste 302, Coeur D Alene, ID 83814-2668 | 2020-10-19 |
| 1730787482 | John Dustin Pena | Nurse Practitioner | 102 Courthouse Dr Ste F, Salmon, ID 83467-3905 | 2020-10-14 |
| 1982202743 | Jayson Paul Smith | Nurse Practitioner | 1545 East Leighfield Dr., Meridian, ID 83646 | 2020-10-14 |
| 1659979516 | Jennifer Anne Gardner | Nurse Practitioner | 1385 Park View Dr Ste 101, Twin Falls, ID 83301-4390 | 2020-10-13 |
| 1982210795 | Samuel Hally | Nurse Practitioner | 1346 Cimarron Ct, Middleton, ID 83644-5894 | 2020-09-17 |
| 1013522275 | Beau Lee | Nurse Practitioner | 2900 N Burton St, Boise, ID 83704-5314 | 2020-09-14 |
| 1649885534 | Auston Whitmer | Nurse Practitioner | 2203 E Ringneck St, Meridian, ID 83646-7410 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
| City | BONNERS FERRY |
| Zip Code | 83805 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.