Individual provider Active NPI

Kory Patrick Gouker

  • Registered Nurse
  • Pittsburgh, PA
National Provider Identifier
1477199776
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN664432 Issued in PA
Practice address
4100 Allequippa Street
Pittsburgh, PA 15219
Phone
(412) 822-2222
NPI assigned
Nov 21, 2019
Last updated
Nov 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN664432 PA Primary

Addresses

Primary practice location

4100 Allequippa Street
Pittsburgh, PA 15219

Mailing address

1123 Portsmouth Dr
McKeesport, PA 15133-3707
Phone (412) 980-0068

Other practice location 1

565 Coal Valley Rd
Jefferson Hills, PA 15025-3703
Phone (412) 469-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN664432PAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1477199776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 PORTSMOUTH DR",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151333707",
            "telephone_number": "412-980-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 ALLEQUIPPA STREET",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15219",
            "telephone_number": "412-822-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "565 Coal Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Jefferson Hills",
            "state": "PA",
            "postal_code": "150253703",
            "country_code": "US",
            "telephone_number": "412-469-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOUKER",
        "first_name": "KORY",
        "middle_name": "PATRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN664432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.