Lisa M Gorman, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

818245 Issued in NV

Practice address

6240 N Durango Dr Ste 120
Las Vegas, NV 89149-3916

Phone

(954) 923-7440

Fax

(954) 923-1299

NPI assigned

Jun 11, 2019

Sex

Female

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

Enrolled in NV

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lisa.gorman@676.emedpractice.direct-ci.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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

• Desert Pain & Wellness Clinic LLC

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1811715774

  Multi-Specialty

  Medicare reassignment NPD
• Desertbloom Medical LLC

  • Clinic/Center
  • Las Vegas, NV
  • NPI 1376323550

  Multi-Specialty

  Medicare reassignment NPD
• Universal Medical Alliance Inc.

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1659995090

  Multi-Specialty

  Medicare reassignment NPD
• GLC Wellness Center LLC

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1225622889

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1619536844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S PARK RD STE 200",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218541",
            "telephone_number": "954-607-9826",
            "fax_number": "954-923-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 N DURANGO DR STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891493916",
            "telephone_number": "954-923-7440",
            "fax_number": "954-923-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "818245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yanelis Goris
• Sharion Marie Irene Gorisek
• Codee Gorman
• Joanna Gorman
• Kimberly Gorman
• Jordan Gorme
• Soren Gorme
• Louise Gormley
• Bryn Reanne Gornick, DO
• Rabie Goro

• Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.