Peter Gordon Gourley, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP30005913 Issued in WA

Practice address

1111 W Ironwood Dr Ste B
Coeur D Alene, ID 83814-2604

Phone

(208) 664-1594

Fax

(208) 664-5867

NPI assigned

Jun 16, 2006

Last updated

Jan 6, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Garnet State Enterprises LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hayden, ID
  • NPI 1184433005
  NPD Authorized official
• Wellness Enhancement Center of Idaho Inc.

  dba Psychiatry and Neurotherapy of Idaho

  • Community/Behavioral Health Agency
  • Coeur d'Alene, ID
  • NPI 1417370990
  NPD
• Thrive Psychiatric Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Coeur d'Alene, ID
  • NPI 1508793282
  NPD (past)
• County of Grant

  dba Grant Mental Healthcare

  • Mental Health Counselor
  • Moses Lake, WA
  • NPI 1689677833
  NPD (past)
• Grant County Health District

  • Public Health or Welfare Agency
  • Moses Lake, WA
  • NPI 1295915247
  NPD (past)
• Praxis Health, PC

  • Multi-Specialty Clinic/Center
  • Bend, OR
  • NPI 1821068164
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1114961240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2481 HALLEBERRY",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358339",
            "telephone_number": "509-989-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W IRONWOOD DR STE B",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142604",
            "telephone_number": "208-664-1594",
            "fax_number": "208-664-5867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOURLEY",
        "first_name": "PETER",
        "middle_name": "GORDON",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP30005913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Gore
• Ashley A Gorham, LD
• Amanda Goulart
• Tristen M Gould, LCSW
• Janet M Gourley, DNP, NP
• Grace Ridge Counseling
• Kelly Grace, LMP
• Nicholas Graham
• Jose Grajo
• Kelli Ann Grambeau, APRN

• Psychiatric/Mental Health Nurse Practitioner in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Psychiatric/Mental Health Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.