Bryan Kristoffer Gonzales Gomez

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN61075740 Issued in WA

Practice address

1610 Lafayette St
P.O Box 881009
Steilacoom, WA 98388-1307

Phone

(347) 909-8738

NPI assigned

May 24, 2022

Last updated

Oct 4, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759536000000",
    "number": "1609514397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 LAFAYETTE ST",
            "address_2": "P.O BOX 881009",
            "city": "STEILACOOM",
            "state": "WA",
            "postal_code": "983881307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 LAFAYETTE ST",
            "address_2": "P.O BOX 881009",
            "city": "STEILACOOM",
            "state": "WA",
            "postal_code": "983881307",
            "telephone_number": "347-909-8738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "BRYAN KRISTOFFER",
        "middle_name": "GONZALES",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-24",
        "last_updated": "2025-10-04",
        "certification_date": "2025-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN61075740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonie Edwards, LMHCA
• Micah Elliot
• Erica A Flores, LMT
• Sabrina Mateo Gan
• Brianne Giovannini, LPN
• Jocelyn Moniquie Grant
• Rachel Hall, LPN
• Betty Lucille Hanna, LMFT
• Kristine Loree Harper, R.N.
• Dani Hart, M.S.

• Registered Nurse in Steilacoom, WA
• Providers in Steilacoom, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.