JILL C GOLDBERG (NPI# 1386812238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386812238 |
| Entity Type | Individual |
| Full Name | JILL C GOLDBERG |
| Credential | APRN |
| Practice Address |
1 Bonnybrook Rd Norwalk CT 06850-2703 |
| Practice Telephone | 2032479636 |
| Mailing Telephone | 2032479636 |
| Mailing Fax Number | 2039560570 |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2016-11-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
002713 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | STATE LICENSE | 002713 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013147867 | Jill Melissa Goldberg | Speech-Language Pathologist | 1423 Winston Dr, Buffalo Grove, IL 60089-6834 | 2009-07-14 |
| 1801935689 | Jill Susan Goldberg | Chiropractor | 535 Pontius Ave N, Suite 124, Seattle, WA 98109-5547 | 2007-02-06 |
| 1447300892 | Jill Goldberg | Speech-Language Pathologist | 9 Corn Crib Ln, Roslyn Heights, NY 11577-2622 | 2007-01-10 |
| 1699240200 | Jill Meredith Goldberg | Optometrist | 4470 Highland Rd, Waterford, MI 48328-1222 | 2018-10-10 |
| 1366691164 | Jill Dana Goldberg | Dietitian, Registered | 110 E 59th St, Suite 10d, New York, NY 10022-1304 | 2008-09-17 |
| 1255523718 | Jill Patrice Goldberg | Social Worker | 2094 Albany Post Rd, Montrose, NY 10548-1454 | 2007-08-17 |
| Street Address |
1 BONNYBROOK RD |
| City | NORWALK |
| State | CT |
| Zip Code | 06850-2703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497105092 | Brightview Norwalk, LLC | Alzheimer Center (Dementia Center) | 162 New Canaan Ave., Norwalk, CT 06850 | 2016-06-15 |
| 1518321306 | Megan Yee | Social Worker | 54 W. Norwalk Road, Norwalk, CT 06850 | 2016-04-08 |
| 1992129886 | Alicia Collen Zeidan | Nurse Practitioner | 10 Mott Ave Ste 2a, Norwalk, CT 06850 | 2014-02-12 |
| 1306194642 | Diane Beth Weiss | Specialist | 12 Rae Lane, Norwalk, CT 06850 | 2012-08-16 |
| 1538491170 | Thomas C. Santaniello | Dentist | 16 River Street, Norwalk, CT 06850 | 2010-02-08 |
| 1720226988 | Kathleen F Dayton | Counselor | 4 Berkeley Street, Super Kids, Norwalk, CT 06850 | 2009-01-27 |
| 1578716783 | Helen B. Mccue | Social Worker | 9 Mott Avenue, Family and Children's Agency, Norwalk, CT 06850 | 2008-10-31 |
| 1609900497 | James Schumacher | Physician Assistant | Maple Avenue, Norwalk, CT 06850 | 2007-03-15 |
| 1134270002 | Neelam Narula | Nurse Practitioner | 34 Maple St Ste J, Norwalk, CT 06850 | 2007-01-16 |
| 1669559951 | Patricia Jorquera | Pediatrics | 10 Mott Avenue, 4th Floor, Norwalk, CT 06850 | 2006-11-01 |
| Find all providers in zip 06850 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861691644 | Therese Francesca Gardere | Nurse Practitioner | 747 Belden Ave, Norwalk, CT 06850-3348 | 2007-07-12 |
| 1568672384 | Hilary Gillespie Hadden | Nurse Practitioner | 149 East Ave Ste 39, Norwalk, CT 06851-5711 | 2007-05-23 |
| 1659598092 | Carol Ann Williams | Nurse Practitioner | 282 Benedict Ave Ste B, Norwalk, OH 44857-2712 | 2007-04-19 |
| 1841786878 | Blair E Mayfield | Nurse Practitioner | 282 Benedict Ave Ste B, Norwalk, OH 44857-2712 | 2018-07-02 |
| 1083106793 | Christine Nicole Mayer | Nurse Practitioner | 282 Benedict Ave Ste B, Norwalk, OH 44857-2712 | 2018-05-30 |
| 1750800025 | Evalyn Freida Sisson | Nurse Practitioner | 282 Benedict Ave Ste B, Norwalk, OH 44857-2712 | 2017-09-18 |
| 1922544055 | Kathryn Falter | Nurse Practitioner | 282 Benedict Ave Ste B, Norwalk, OH 44857-2712 | 2017-01-12 |
| 1215380423 | Addie Shock | Nurse Practitioner | 282 Benedict Ave Ste B, Norwalk, OH 44857-2712 | 2016-07-22 |
| 1649653304 | Ashley Brooke Mcgrain | Nurse Practitioner | 282 Benedict Ave Ste B, Norwalk, OH 44857-2712 | 2015-06-30 |
| 1053709535 | Spiralpath Healing Center, LLC. | Nurse Practitioner | 258 Main St, Norwalk, CT 06851-2748 | 2015-01-06 |
| Find all providers in NORWALK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.