MR. LARRY J GOISSE (NPI# 1437555109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437555109 |
| Entity Type | Individual |
| Full Name | MR. LARRY J GOISSE |
| Credential | CRNP |
| Practice Address |
6425 Living Pl Suite 2085 Pittsburgh PA 15206 |
| Practice Telephone | (412) 274-0303 |
| Practice Fax Number | 4128029156 |
| Mailing Telephone | 4122740303 |
| Mailing Fax Number | 4128029156 |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN577684 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
SP014433 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PRACTICE NPI | 1245766310 | 01 | |
| PA | 1437555109 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6425 Living Pl, Suite 2085, Pittsburgh, PA 15206 | 4122740303 | 4128029156 |
| Street Address |
6425 LIVING PL SUITE 2085 |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891319356 | Jada Lee Pannell | Counselor | 6425 Living Pl, Pittsburgh, PA 15206-5122 | 2020-06-01 |
| 1588288179 | Alliyah Kimbrough | Social Worker | 6425 Living Pl, Pittsburgh, PA 15206-5122 | 2020-05-30 |
| 1801387956 | Pittsburgh Counseling & Wellness, LLC | Social Worker | 6425 Living Pl, Ste 200, Pittsburgh, PA 15206 | 2018-05-24 |
| 1356831002 | Katelyn Zeak | Social Worker | 6425 Living Pl, Ste 200, Pittsburgh, PA 15206 | 2018-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649827411 | Tania Hawkins | Specialist | 5744 Baum Blouvard, Shadyside, PA 15206 | 2019-08-26 |
| 1073091252 | Elizabeth Kathryn Allen | Counselor | 220 N Fairmount St Apt 3, Pittsburgh, PA 15206 | 2018-07-31 |
| 1730603408 | Jennifer Marie Zapata | Counselor | 1391 Washington Boulevard, Pittsburgh, PA 15206 | 2017-08-03 |
| 1164942462 | Shanna L Tresatti | Counselor | 1391 Washington Blvd., Pittsburgh, PA 15206 | 2017-06-27 |
| 1457880858 | Keith Hill Sr. | Counselor | 6925 Churchland Street, Pittsburgh, PA 15206 | 2017-06-08 |
| 1245766310 | Prime Psychiatric Care, LLC | Clinic/Center | 6245 Living Place, Suite 2085, Pittsburgh, PA 15206 | 2017-05-10 |
| 1144765868 | Elizabeth Sherman | Occupational Therapist | 5877 Commerce St Ste 2, Pittsburgh, PA 15206 | 2017-01-04 |
| 1649626730 | Sarah Lubiejewski | Dentist | 5986 Centre Ave, Suite C-201, Pittsburgh, PA 15206 | 2016-05-09 |
| 1871956391 | Kadie Fritz | Physician Assistant | 5601 Centre Ave., Suite 360, Pittsburgh, PA 15206 | 2016-04-01 |
| 1750740155 | Perfect Smile Dental Group PC | Dentist | 715 N Highland Ave Ste 1, Pittsburgh, PA 15206 | 2016-02-15 |
| Find all providers in zip 15206 | ||||
| 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 |
|---|---|---|---|---|
| 1184233926 | Jessica L Parente | Nurse Practitioner | 4067 Howley St, Pittsburgh, PA 15224-1439 | 2020-07-28 |
| 1235670399 | Heeyoung Lee | Nurse Practitioner | 4608 Penn Avenue, Pittsburgh, PA 15224-1315 | 2017-03-09 |
| 1356710081 | Allison Pavlov | Nurse Practitioner | 200 Lothrop St Ste 933w, Pittsburgh, PA 15213-2536 | 2015-09-23 |
| 1760798391 | Kathi Renee Elliott | Nurse Practitioner | 5543 Hays St, Pittsburgh, PA 15206-2006 | 2010-08-19 |
| 1992845465 | Amy G. Kenny | Nurse Practitioner | 4416 Penn Ave, Pittsburgh, PA 15224-1312 | 2007-02-07 |
| 1588263354 | Sara Hoppe | Nurse Practitioner | 4100 Allequippa St, Pittsburgh, PA 15240 | 2020-10-22 |
| 1215535331 | Tiffani Tatko | Nurse Practitioner | 1350 Old Freeport Rd Ste 1a, Pittsburgh, PA 15238-3122 | 2020-10-12 |
| 1396357596 | Rebekah Lynn Dechicko | Nurse Practitioner | 5725 Forward Ave Ste 401, Pittsburgh, PA 15217-2255 | 2020-08-19 |
| 1962020834 | Joshua Edward Palmer | Nurse Practitioner | 4608 Penn Ave, Pittsburgh, PA 15224-1309 | 2020-07-08 |
| 1689292674 | Aisling Mcivor | Nurse Practitioner | 4 Allegheny Ctr Fl 8, Pittsburgh, PA 15212-5255 | 2020-07-07 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15206 |
Please comment or provide details below to improve the information on MR. LARRY J GOISSE.
| 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.