Active NPI
Ryan Gorman, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Alexandria, VA
National Provider Identifier
1831492263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0024169057
- Practice address
- 5510 Cherokee Ave
Suite 300, #1084
Alexandria, VA 22312 - Phone
- (703) 688-2588
- NPI assigned
- Dec 7, 2010
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024169057 | VA | Primary |
Addresses
Primary practice location
5510 Cherokee Ave
Suite 300, #1084
Alexandria, VA 22312
Mailing address
5510 Cherokee Ave
Suite 300, #1084
Alexandria, VA 22312
Phone (703) 688-2588
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024169057 | VA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R. R. Gorman, NP, LLC | Current | Accepting new patients |
Locations
5510 Cherokee Ave
Ste 300
Alexandria, VA 22312
Phone (240) 716-4250
601 King St
Ste 202
Alexandria, VA 22314
2615 Columbia Pike
#537
Arlington, VA 22204
4445 Corporation Ln
Ste 264
Virginia Beach, VA 23462
Phone (561) 556-2656
Organizations & group practices 1
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.
-
- Adult Mental Health Clinic/Center
- Alexandria, VA
- NPI 1689289019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1831492263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5510 CHEROKEE AVE",
"address_2": "SUITE 300, #1084",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "22312",
"telephone_number": "703-688-2588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5510 CHEROKEE AVE",
"address_2": "SUITE 300, #1084",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "22312",
"telephone_number": "703-688-2588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORMAN",
"first_name": "RYAN",
"name_prefix": "Ms.",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-07",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "VA",
"license": "0024169057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.