JILL D GOSS (NPI# 1396376620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396376620 |
| Entity Type | Individual |
| Full Name | JILL D GOSS |
| Credential | RN, APRN STUDENT |
| Practice Address |
22 Moody Ln Tamworth NH 03886-5103 |
| Practice Telephone | 6033937326 |
| Mailing Telephone | 6033937326 |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 040280-21 | NH | Student, Health Care |
| Street Address |
22 MOODY LN |
| City | TAMWORTH |
| State | NH |
| Zip Code | 03886-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033459821 | Scott Monroe Wright | Physical Therapy Assistant | 593 Gardner Hill Road, Tamworth, NH 03886 | 2013-02-15 |
| 1255587937 | Huggins Hospital | Family Medicine | 577 White Mountain Hwy, Tamworth, NH 03886 | 2008-08-13 |
| 1861889164 | E-z Optical | Durable Medical Equipment & Medical Supplies | 680 White Mountain Hwy, Ste 3, Tamworth, NH 03886 | 2015-04-24 |
| 1578787198 | Tamworth School District | Local Education Agency (LEA) | 881 Tamworth Rd, Tamworth, NH 03886-4320 | 2007-04-13 |
| 1255485397 | Sheryl Lynn Power | Social Worker | 448 White Mountain Highway, Tamworth, NH 03886-4405 | 2007-01-23 |
| 1063594950 | Jack Tomasz Hadam | Legal Medicine | 680 White Mountain Hwy, Tamworth, NH 03886-4625 | 2006-10-19 |
| 1255734679 | Erika Birch Rezzuti | Technician/Technologist | 680 White Mountain Hwy, Suite #3, Tamworth, NH 03886-4625 | 2014-09-30 |
| 1386957843 | Lakeside Physical Therapy & Fitness Center | Physical Therapist | 680 White Mountain Hwy, Tamworth, NH 03886-4625 | 2010-07-26 |
| 1396984670 | Lakeside Physical Therapy & Fitness Center | Clinic/Center | 685 White Mountain Hwy, Tamworth, NH 03886-4625 | 2009-02-11 |
| 1922233766 | Tri-county Community Action Program | Dentist | 448 White Mountain Hwy, Tamworth, NH 03886-4626 | 2009-05-22 |
| Find all providers in zip 03886 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316507 | Sarah Karam | Student in an Organized Health Care Education/Training Program | 56 N Stark Hwy, Weare, NH 03281-4639 | 2020-11-03 |
| 1629685912 | Rexford R Fisher IIi | Student in an Organized Health Care Education/Training Program | 12 Estabrook Cir, West Lebanon, NH 03784-1202 | 2020-09-30 |
| 1396352688 | Anthony Joseph Machado | Student in an Organized Health Care Education/Training Program | 24 Airport Rd Ste 19, West Lebanon, NH 03784-1663 | 2020-09-30 |
| 1104432210 | Riley Anne Bennett | Student in an Organized Health Care Education/Training Program | 648 Broad Cove Rd, Hopkinton, NH 03229-2711 | 2020-09-23 |
| 1013523786 | Lauryn Berretta | Student in an Organized Health Care Education/Training Program | 114 Windsor Rd, Claremont, NH 03743-4117 | 2020-09-18 |
| 1205449337 | Kamila Zlotosch | Student in an Organized Health Care Education/Training Program | 6 Hampshire Ave, Durham, NH 03824-1926 | 2020-08-28 |
| 1386255479 | Torrie Robert Lemon | Student in an Organized Health Care Education/Training Program | 41 Mckay Dr Apt 310, Exeter, NH 03833-1590 | 2020-08-12 |
| 1194335687 | Brenton Keele | Student in an Organized Health Care Education/Training Program | 97 Bridge St Apt 6, Manchester, NH 03101-1651 | 2020-08-09 |
| 1386253326 | Casey Gilman | Student in an Organized Health Care Education/Training Program | 25 Fieldstone Dr, Hampstead, NH 03841-2300 | 2020-07-27 |
| 1316565484 | Brittney Lee Lambert | Student in an Organized Health Care Education/Training Program | 4 Terra Ln, Hudson, NH 03051-3438 | 2020-07-06 |
| Find all providers with the same taxonomy | ||||
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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.