CARLY GOLDBECK (NPI# 1417508375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417508375 |
| Entity Type | Individual |
| Full Name | CARLY GOLDBECK |
| Other Name | CARLY GERMAINE |
| Practice Address |
2277 Iowa Ave Independence IA 50644-9106 |
| Practice Telephone | 3193342583 |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2019-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
G154997 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2277 IOWA AVE |
| City | INDEPENDENCE |
| State | IA |
| Zip Code | 50644-9106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841279239 | Mental Health Institute | Psychiatric Hospital | 2277 Iowa Ave, Independence, IA 50644-9106 | 2006-01-13 |
| 1649641978 | Kelly Lynn Stevens | Pharmacist | 2277 Iowa Ave, Independence, IA 50644-9106 | 2015-10-13 |
| 1093186405 | Sandra Lloyd | Pharmacist | 2277 Iowa Ave, Independence, IA 50644-9106 | 2015-10-12 |
| 1437402070 | Jonathan Joseph Steffen | Social Worker | 2277 Iowa Ave, Independence, IA 50644-9106 | 2012-10-19 |
| 1437376746 | Rudy Richard Kubik | Dentist | 2277 Iowa Ave, Independence, IA 50644-9106 | 2007-04-19 |
| 1104941236 | Marla Kay Howlett | Pharmacist | 2277 Iowa Ave, Independence, IA 50644-9106 | 2007-03-20 |
| 1013066430 | Mental Health Institute | Psychiatric Hospital | 2277 Iowa Ave, Independence, IA 50644-9106 | 2007-01-09 |
| 1205911765 | Mental Health Institute | Psychiatric Residential Treatment Facility | 2277 Iowa Ave, Independence, IA 50644-9106 | 2006-10-25 |
| 1407958168 | Barbara J Roberson | Physician Assistant | 2277 Iowa Ave, Independence, IA 50644-9106 | 2006-09-02 |
| 1679684641 | Bhasker Jethalal Dave | Psychiatry & Neurology | 2277 Iowa Ave, Independence, IA 50644-9106 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476959 | Diane Meyer | Occupational Therapist | 230 Swan Lake Blvd, Suite 103, Independence, IA 50644 | 2020-01-10 |
| 1538717988 | Kathy Ann Allsup | Technician | 2617 Quasqueton Diag Blvd. #4, Independence, IA 50644 | 2019-08-29 |
| 1619182219 | Robert Thomas Kingus | Optometrist | 1310 1st St West, Independence, IA 50644 | 2007-05-14 |
| 1477646966 | Matthew Patrick Fuelling | Chiropractor | 231 2nd Ave N.e., Independence, IA 50644 | 2006-10-02 |
| 1104889609 | Sharla Kaye Wall | Chiropractor | 701 2nd Ave Ne, Independence, IA 50644 | 2006-04-07 |
| 1174053821 | Megan Rose Trembly | Speech-Language Pathologist | 1610 3rd St Ne, Independence, IA 50644 | 2017-06-15 |
| 1710432786 | Lauren Oldag | Social Worker | 2300 Swan Lake Blvd Ste 102, Independence, IA 50644 | 2016-08-19 |
| 1255781068 | Bradley Boyle | Optometrist | 1310 1st St W, Independence, IA 50644 | 2016-06-13 |
| 1528372968 | Thomas William Magner | Counselor | 417 5th St Nw, Independence, IA 50644-1554 | 2010-07-27 |
| 1093019796 | Linda Lee Moore | Community Health Worker | 1717 3rd St. N.e., Independence, IA 50644-1717 | 2011-01-10 |
| Find all providers in zip 50644 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207043 | Brenda Ann Smith | Nurse Practitioner | 10189 Chestnut Oak Dr, Independence, KY 41051-8805 | 2020-05-21 |
| 1235268863 | Andrew Sharp | Nurse Practitioner | 304 West 4th Street, Independence, LA 70443 | 2007-03-02 |
| 1619575677 | Samantha Jo Rieger | Nurse Practitioner | 2349 Jamestown Ave Ste 1, Independence, IA 50644-9709 | 2020-10-13 |
| 1255992764 | Sarah Wright | Nurse Practitioner | 17844 E 23rd St S, Independence, MO 64057-1840 | 2019-06-25 |
| 1700447711 | Nia Betton | Nurse Practitioner | 4700 Rockside Rd Ste 100, Independence, OH 44131-2148 | 2019-06-21 |
| 1659836484 | Traci Lynn Wentz | Nurse Practitioner | 17844 E 23rd St S, Independence, MO 64057-1840 | 2019-02-06 |
| 1124565668 | Linda Robinette | Nurse Practitioner | 3751 W Main St, Independence, KS 67301-8446 | 2017-01-23 |
| 1679925747 | Cassandra Skul | Nurse Practitioner | 4700 Rockside Rd, Suite 100, Independence, OH 44131-2155 | 2016-07-12 |
| 1174876494 | Mona Habib | Nurse Practitioner | 4721 S Cliff Ave, Suite 201, Independence, MO 64055-7016 | 2012-10-24 |
| 1942572540 | Chynwe Celestine Ahumaraeze | Nurse Practitioner | 17844 E 23rd St S, Independence, MO 64057-1840 | 2012-01-30 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 50644 |
Please comment or provide details below to improve the information on CARLY GOLDBECK.
| 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.