RANDY PAUL GOLEMAN ARNP NPI 1104542109

NPI Information

  • NPI: 1104542109
  • Provider Name: RANDY PAUL GOLEMAN, ARNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 845 W KATHLEEN AVE
    COEUR D ALENE, ID
    ZIP 83815
  • Phone: (208) 250-0428

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NPI Details

Randy Paul Goleman, ARNP is a psychiatric/mental health nurse practitioner in Coeur D Alene, ID. Randy Paul Goleman, ARNP NPI is 1104542109. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

845 W KATHLEEN AVE
COEUR D ALENE, ID
ZIP 83815-405
Phone: (208) 250-0428

The NPI 1104542109 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/12/2022 and was last updated on 4/3/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthAP61409196WASHINGTONNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthTEMP58976IDAHONo
3363LP0808XNurse PractitionerPsychiatric/Mental Health1112901TEXASNo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN-3981HAWAIINo
5363LP0808XNurse PractitionerPsychiatric/Mental Health865047NEVADANo
6363LP0808XNurse PractitionerPsychiatric/Mental Health58976IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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