Active NPI
Ryan Gorell, RN
- Critical Care Medicine Registered Nurse
- Chesapeake, VA
National Provider Identifier
1508624198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Registered Nurse
- License
- 0001252399
- Practice address
- 2625 Janson Dr
Chesapeake, VA 23321-3807 - Phone
- (978) 944-3148
- NPI assigned
- Mar 8, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 0001252399 | VA | Primary |
| Basic Emergency Medical Technician | 146N00000X | B051581016 | VA |
Addresses
Primary practice location
2625 Janson Dr
Chesapeake, VA 23321-3807
Mailing address
2625 Janson Dr
Chesapeake, VA 23321-3807
Phone (978) 944-3148
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B051581016 | VA | MD | Basic Emergency Medical Technician |
| 0001252399 | VA | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709856000000",
"number": "1508624198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 JANSON DR",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233213807",
"telephone_number": "978-944-3148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2625 JANSON DR",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233213807",
"telephone_number": "978-944-3148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORELL",
"first_name": "RYAN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-03-08",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "VA",
"license": "0001252399",
"primary": true
},
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "VA",
"license": "B051581016",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.