DALE GOULDIE (NPI# 1396910618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396910618 |
| Entity Type | Individual |
| Full Name | DALE GOULDIE |
| Credential | PNP |
| Practice Address |
125 Huxley Rd Knoxville TN 37922-3197 |
| Mailing Address |
125 Huxley Road Knoxville TN 37922 |
| Practice Telephone | 8656913335 |
| Practice Fax Number | 8656913310 |
| Mailing Telephone | 8656913335 |
| Mailing Fax Number | 8656913310 |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2011-10-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0200X |
Clinical Nurse Specialist Specialization: Pediatrics |
6763 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
125 HUXLEY RD |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37922-3197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992786651 | Melissa Anne Meyer | Pediatrics | 125 Huxley Rd, Knoxville, TN 37922-3197 | 2005-11-09 |
| 1669031837 | Summit Medical Group,pllc | Pediatrics | 125 Huxley Rd, Knoxville, TN 37922-3197 | 2019-06-11 |
| 1699195099 | Kelli Chamberlain Wolfe | Registered Nurse | 125 Huxley Rd, Knoxville, TN 37922-3197 | 2014-04-24 |
| 1982929279 | Pediatric Consultants West | Pediatrics | 125 Huxley Rd, Knoxville, TN 37922-3197 | 2010-03-30 |
| 1457503021 | Virginia Stafford Hile | Clinical Nurse Specialist | 125 Huxley Rd, Knoxville, TN 37922-3197 | 2008-10-15 |
| 1578573556 | Kristy Edge Carter | Pediatrics | 125 Huxley Rd, Knoxville, TN 37922-3197 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184132185 | Kimberly Zitko | Pharmacist | 400 Goody's Lane, Knoxville, TN 37922 | 2018-01-12 |
| 1366959314 | Matthew Smith | Physician Assistant | 1424 Randall Park Dr, Knoxville, TN 37922 | 2017-12-29 |
| 1174052823 | 24/7 Healthcare, Inc. | Nursing Care | 110 Center Park Drive, Suite 101, Knoxville, TN 37922 | 2017-06-07 |
| 1023543477 | Open Arms Care Corp | Intermediate Care Facility, Mentally Retarded | 12625 S Northshore Dr, Knoxville, TN 37922 | 2017-04-24 |
| 1275905440 | Milligan Surgical Associates, Pllc | Surgery | 1919 Pinnacle Pointe Way, Knoxville, TN 37922 | 2015-10-27 |
| 1275904096 | Medical Necessities & Services LLC | Durable Medical Equipment & Medical Supplies | 9327 S Northshore Dr, Knoxville, TN 37922 | 2015-10-20 |
| 1841668126 | Chad Szala | Behavioral Analyst | 10721 Chapman Hwy #22, Knoxville, TN 37922 | 2015-09-03 |
| 1275916470 | Nikki Nicole Peoples | Acupuncturist | 10406 Jackson Oaks Way Ste A, Knoxville, TN 37922 | 2015-07-07 |
| 1538577747 | Susan Carter | Optometrist | 2053 Thunderhead Rd, Knoxville, TN 37922 | 2014-07-31 |
| 1366868135 | Heartland Infusion | Clinic/Center | 9943 Kingston Pike, Knoxville, TN 37922 | 2014-03-17 |
| Find all providers in zip 37922 | ||||
| Taxonomy Code | 364SP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366756082 | University of Tennessee | Clinical Nurse Specialist | 220 Langland Street, Knoxville, TN 37915 | 2010-08-05 |
| 1952684268 | Alicia M. Alexander | Clinical Nurse Specialist | 220 Langland St, Knoxville, TN 37915-1415 | 2011-09-22 |
| 1609020122 | Amber Bennett Wetherington | Clinical Nurse Specialist | 2100 W Clinch Ave, Ste 120, Knoxville, TN 37916 | 2008-11-11 |
| 1457503021 | Virginia Stafford Hile | Clinical Nurse Specialist | 125 Huxley Rd, Knoxville, TN 37922-3197 | 2008-10-15 |
| 1437305653 | Anila Bhimani | Clinical Nurse Specialist | 1930 Alcoa Hwy, Suite 145, Knoxville, TN 37920-1500 | 2008-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902203284 | Joshua Cole | Clinical Nurse Specialist | 5308 Greenbriar Rd, Chattanooga, TN 37412-3002 | 2014-12-02 |
| 1356618987 | Ashley Kirkpatrick Williams | Clinical Nurse Specialist | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2011-11-28 |
| 1578881132 | Loudon County Pediatrics, PC | Clinical Nurse Specialist | 423 Medical Park Dr, Lenoir City, TN 37772-5640 | 2010-05-06 |
| 1508042276 | Jacqueline Farris | Clinical Nurse Specialist | 4299 Elvis Presley Blvd, Memphis, TN 38116-6435 | 2008-01-12 |
Please comment or provide details below to improve the information on DALE GOULDIE.
| 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.