Active NPI
Randi Lynn Gehrman Ewing, APRN, AGNP-C
- Nurse Practitioner
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN002686
- Practice address
- 6655 W Sahara Ave Ste B114
Las Vegas, NV 89146-0844 - Phone
- (702) 489-4412
- NPI assigned
- Oct 19, 2017
- Last updated
- Nov 15, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN002686 | NV | Primary |
Addresses
Primary practice location
6655 W Sahara Ave Ste B114
Las Vegas, NV 89146-0844
Mailing address
4141 Swenson St
Las Vegas, NV 89119-6718
Phone (715) 607-0847
Other names 1
- Randi Lynn Gehrman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
936 NW Hoquiam CT
Camas, WA 98607-8154
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eden Hospice at King County, LLC | Current | Accepting new patients | |
| Eden Hospice at Whatcom County, LLC | Current | Accepting new patients | |
| Eden Hospice at Portland, LLC | Current | Accepting new patients | |
| Center for Compassionate Care and Palliative Services Institute | Past | Accepting new patients |
Locations
221 Molalla Ave
Ste 102
Oregon City, OR 97045
Phone (971) 256-6642
316 E McLeod Rd
Ste 104
Bellingham, WA 98226
Phone (360) 734-5410
733 7th Ave
Ste 110
Kirkland, WA 98033
Phone (206) 717-8161
1424 16th Ave
Longview, WA 98632
Phone (360) 425-6620
1700 Hudson St
Ste 100
Longview, WA 98632
Phone (360) 583-3394
2621 NE 134th St
Ste 140
Vancouver, WA 98686
Phone (360) 504-0122
4601 NE 77th Ave
Ste 300
Vancouver, WA 98662
Organizations & group practices 4
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.
-
dba Eden Hospice
- Community Based Hospice Care Agency
- Tukwila, WA
- NPI 1255922720
-
dba Eden Hospice
- Community Based Hospice Care Agency
- Oregon City, OR
- NPI 1902579840
WA
-
dba Eden Hospice
- Community Based Hospice Care Agency
- Bellingham, WA
- NPI 1275130098
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Las Vegas, NV
- NPI 1639494867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542240000000",
"number": "1730690496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4141 SWENSON ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891196718",
"telephone_number": "715-607-0847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6655 W SAHARA AVE STE B114",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891460844",
"telephone_number": "702-489-4412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EWING",
"first_name": "RANDI",
"middle_name": "LYNN GEHRMAN",
"name_prefix": "Mrs.",
"credential": "APRN, AGNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-19",
"last_updated": "2018-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "APRN002686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RANDI",
"last_name": "GEHRMAN",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.