Ryan Goodman, CPNP-AC

Individual Active
NPI 1710629704
Pediatric Nurse Practitioner Gillette, WY

NPI 1710629704 belongs to Ryan Goodman, CPNP-AC, a pediatric nurse practitioner with a practice location in Gillette, WY. The NPI was issued on April 10, 2022, and the record was last updated in NPPES on July 31, 2025. The record lists 2 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X 53158 (WY)
Registered Nurse 163W00000X 41646 (WY)

Practice location

501 S Burma Ave
Gillette, WY 82716-3426
Phone: (307) 688-1500

Local context

Active NPPES records list 3 providers with pediatric nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code, 2 of them within 10 miles.

The same primary taxonomy is listed by 25 in Wyoming and 24,071 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Miss Ryan Stephanie Goodman
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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