NPI Code Detail JSON Logo

1346993193 NPI number — BRYCE GOSNEY PMHNP

NPI Number: 1346993193
Health Care Provider/Practitioner: BRYCE GOSNEY PMHNP

Information about “1346993193” NPI (BRYCE GOSNEY PMHNP) exists in 1346993193 in HTML format HTML  |  1346993193 in plain Text format TXT  |  1346993193 in PDF (Portable Document Format) PDF  |  1346993193 in an XML format XML  formats.

NPI Number : 1346993193 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1346993193",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GOSNEY",
    "FirstName": "BRYCE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PMHNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3785 HARRISON BLVD STE 4",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OGDEN",
    "MailingAddressStateName": "UT",
    "MailingAddressPostalCode": "84403-2072",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "801-686-8488",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2132 N ROBINS DR STE 300",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAYTON",
    "PracticeLocationAddressStateName": "UT",
    "PracticeLocationAddressPostalCode": "84041-7077",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "801-821-2333",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/01/2022",
    "LastUpdateDate": "05/23/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": "NP95019258",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": "13183565-4405",
          "LicenseNumberStateCode": "UT",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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