Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710629704 Individual Practitioner Female Practitioner

Ryan Stephanie Goodman , CPNP-AC

Nurse Practitioner - Pediatrics • Gillette, WY

Professional Overview & Biography Verified Profile Summary

Ryan Goodman, CPNP-AC is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Gillette, WY. Practice services are available at 501 S BURMA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

501 S Burma Ave

Gillette, WY 827163426

Telephone 3076881500
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Gillette, WY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Gillette, WY (21 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-31
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License WY 53158

Definition to come...

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License WY 41646

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dana Halbrooks , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003837790

Certified Registered Nurse Anesthetist

Dr. Philip Mcmahill , MD

Internal Medicine - Hematology & Oncology

NPI 1013968304

Doctor of Medicine (M.D.)

Patricia Shull , PA-C

Family Medicine

NPI 1033186127

Physician Assistant (Certified)

NPI 1033263652

Master of Arts, Licensed Professional Counselor

Patricia Mcjilton , APRN

Nurse Practitioner - Adult Health

NPI 1043683691

Advanced Practice Registered Nurse

Dr. Jacob Parmley , DO

Family Medicine

NPI 1043890320

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
👤
Provider Name / Credentials Updated July 31, 2025

Recorded as RYAN GOODMAN, CPNP-AC

👤
Provider Name / Credentials Updated September 25, 2023

Recorded as RYAN BOOTHE, CPNP-AC

NPI Profile Active April 10, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 10, 2022

Registered at 501 S BURMA AVE, GILLETTE, WY 827163426 (Tel: 3076881500)

📍
Updated Business Mailing Address April 10, 2022

Registered at 501 S BURMA AVE, GILLETTE, WY 827163426 (Tel: 3076705653)

👤
Provider Name / Credentials Updated April 10, 2022

Recorded as RYAN BOOTHE, RN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2022

Registered Nurse (License #41646 in WY)

🟢
Initial NPI Registration & Enumeration April 10, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710629704
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2022
Last Update: July 31, 2025
Sole Proprietor: Yes

Mailing Address

501 S Burma Ave

Gillette, WY 827163426

Phone: 3076705653

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.