Ryan James Gorman, DNP, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

60867 Issued in ID

Practice address

6488 Chinook St
Bonners Ferry, ID 83805-7515

Phone

(208) 267-8710

NPI assigned

Mar 3, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in ID, MT2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Bonners Ferry Family Medicine, PLLC

  • Rural Health Clinic/Center
  • Bonners Ferry, ID
  • NPI 1922152537
  Medicare reassignment NPD
• Cornerstone Urgent Care & Family Medicine

  • Clinic/Center
  • Bonners Ferry, ID
  • NPI 1356126486
  NPD Authorized official
• St. John'S Lutheran Hospital, Inc.

  • Critical Access Hospital
  • Libby, MT
  • NPI 1952312050
  Medicare reassignment

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1922548494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6488 CHINOOK ST",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838057515",
            "telephone_number": "208-267-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6488 CHINOOK ST",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838057515",
            "telephone_number": "208-267-8710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4311 E Lohman Ave",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880118255",
            "country_code": "US",
            "telephone_number": "575-556-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "RYAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DNP, NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-03",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "APRN-131643",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-03175",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "60867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Gau
• Taylor Geyman, DDS
• Troy W Geyman, M.D.
• Gina M. Beck, LCSW PLLC
• Kenton Bing-Hock Goh, MD
• Kari L Gors, LMSW
• H.H.H. Holdings PLLC
• Kathleen Grace Hall
• Haley Halleman, PA-C
• Hank Willis, DDS, PLLC

• Family Nurse Practitioner in Bonners Ferry, ID
• Providers in Bonners Ferry, ID by specialty
• Family Nurse Practitioner in Idaho

• 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.