Individual provider Active NPI

Randy Paul Goleman, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Post Falls, ID
National Provider Identifier
1104542109
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
58976 Issued in ID
Practice address
601 E Seltice Way Ste 204
Post Falls, ID 83854-7638
Phone
(208) 444-9820
NPI assigned
Oct 12, 2022
Last updated
Aug 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X TEMP58976 ID
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1112901 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN-3981 HI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61409196 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 865047 NV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 58976 ID Primary

Addresses

Primary practice location

601 E Seltice Way Ste 204
Post Falls, ID 83854-7638

Mailing address

601 E Seltice Way Ste 204
Post Falls, ID 83854-7638
Phone (208) 444-9820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250225001487 ID Practitioner - Nurse Practitioner 8921528688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8152 N Wayne Dr
Hayden, ID 83835-6065
Phone (208) 444-9820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-3981HIMDPsychiatric/Mental Health Nurse Practitioner
58976IDMDPsychiatric/Mental Health Nurse Practitioner
TEMP58976IDMDPsychiatric/Mental Health Nurse Practitioner
865047NVMDPsychiatric/Mental Health Nurse Practitioner
1112901TXMDPsychiatric/Mental Health Nurse Practitioner
AP61409196WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valiant Mental Health PLLC Psychiatric/Mental Health CurrentSince Dec 30, 2024 Accepting new patients
Cultivation, LLC Past Accepting new patients

Locations

8152 N Wayne Dr
Hayden, ID 83835
Phone (208) 417-7741

601 E Seltice Way
Ste 204
Post Falls, ID 83854

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1104542109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E SELTICE WAY STE 204",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547638",
            "telephone_number": "208-444-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E SELTICE WAY STE 204",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547638",
            "telephone_number": "208-444-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLEMAN",
        "first_name": "RANDY",
        "middle_name": "PAUL",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-12",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "TEMP58976",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1112901",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "APRN-3981",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61409196",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "865047",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "58976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

Verify at the official NPI Registry.