MS. ANNALIESE JUSTINE GORHAM CRNP, FNP-BC
NPI 1205792629
Nurse Practitioner - Family in Philadelphia, PA

NPI Status: Active since December 30, 2025

Contact Information

3141 CHESTNUT ST
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 895-2000

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  • Individual
  • Female
  • Nurse Practitioner
  • Family

About ANNALIESE GORHAM

This page provides the complete NPI Profile along with additional information for Annaliese Gorham, a provider established in Philadelphia, Pennsylvania with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1205792629 assigned on December 2025. The practitioner's primary taxonomy code is 363LF0000X with license number 2025089303 (PA). The provider is registered as an individual and her NPI record was last updated May 2026.

NPI
1205792629
Provider Name
MS. ANNALIESE JUSTINE GORHAM CRNP, FNP-BC
Gender
Female
Entity Type
Individual
Location Address
3141 CHESTNUT ST PHILADELPHIA, PA 19104
Location Phone
(215) 895-2000
Mailing Address
556 MAIN ST APT C3 SCHWENKSVILLE, PA 19473
Mailing Phone
(315) 484-8434
Is Sole Proprietor?
Yes
Enumeration Date
12-30-2025
Last Update Date
05-04-2026
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A nurse practitioner (NP) like Annaliese Gorham is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
2025089303
License State
PA

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1205792629, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
2
Doubled → 4
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 7 → 14 → 5 2 → 4 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 0 + 5 + 1 + 4 + 9 + 4 + 6 + 4 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1205792629.

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The following 20 providers are registered at the same or a nearby location.

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PHILADELPHIA, PA 19104
Physician Assistant
3141 CHESTNUT ST
PHILADELPHIA, PA 19104
Physician Assistant
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PHILADELPHIA, PA 19104
Nurse Anesthetist, Certified Registered
3141 CHESTNUT ST
PHILADELPHIA, PA 19104
Physician Assistant
3141 CHESTNUT ST
PHILADELPHIA, PA 19104
Physician Assistant
3141 CHESTNUT ST
PHILADELPHIA, PA 19104
Physician Assistant
3141 CHESTNUT ST
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Physician Assistant
3141 CHESTNUT ST
PHILADELPHIA, PA 19104
Physician Assistant
3141 CHESTNUT ST
PHILADELPHIA, PA 19104
Physician Assistant
3141 CHESTNUT ST
PHILADELPHIA, PA 19104
Physician Assistant
3141 CHESTNUT ST
PHILADELPHIA, PA 19104
Physician Assistant
3141 CHESTNUT ST
PHILADELPHIA, PA 19104
Physician Assistant
3141 CHESTNUT ST
PHILADELPHIA, PA 19104
Physician Assistant
3141 CHESTNUT ST
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
3141 CHESTNUT ST
PHILADELPHIA, PA 19104
Counselor (Mental Health)
3141 CHESTNUT ST
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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205792629, enumerated as an "individual" on December 30, 2025.

The provider is located at 3141 CHESTNUT ST PHILADELPHIA, PA 19104 and the phone number is (215) 895-2000.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.