MRS. BETHANY MARIE GOLDBERG (NPI# 1497041453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497041453 |
| Entity Type | Individual |
| Full Name | MRS. BETHANY MARIE GOLDBERG |
| Credential | NP |
| Practice Address |
38 Amaral Street Riverside RI 02915 |
| Practice Telephone | 4014383300 |
| Practice Fax Number | 4014537597 |
| Mailing Telephone | 4014383300 |
| Mailing Fax Number | 4014537597 |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2013-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | NPP37629 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
CNPP37629 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
38 AMARAL STREET |
| City | RIVERSIDE |
| State | RI |
| Zip Code | 02915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881101335 | Brown Medicine | Clinic/Center | 62-68 Amaral Street, East Providence, RI 02915 | 2018-01-05 |
| 1093245391 | Robyn Lee Cranson | Pharmacist | 1086 Willet Ave, Rite Aid Pharmacy, Riverside, RI 02915 | 2017-06-19 |
| 1548703622 | Rebecca Leigh Bejma | Registered Nurse | 100 Bullocks Ave, East Providence, RI 02915 | 2016-11-22 |
| 1568833408 | Riverside Smiles Theodore I Goldberg, Dmd PC & Associates | Dentist | 250 Wampanoag Trail Suite 103, Riverside, RI 02915 | 2015-10-19 |
| 1003165796 | Sandra Cairo | Registered Nurse | 125 Bayview Ave, Riverside, RI 02915 | 2012-09-10 |
| 1487916136 | East Bay Community Action Program | Peer Specialist | 100 Bullocks Point, Riverside, RI 02915 | 2012-06-08 |
| 1790078947 | Matthew Lynch | Internal Medicine | 375 Wampanoag Trl Ste 302a, Riverside, RI 02915 | 2011-05-20 |
| 1679866206 | Jill Stone | Occupational Therapist | 57 Euclid Ave, East Providence, RI 02915 | 2011-05-16 |
| 1770884462 | Kristin F. Cadieux | Nurse Practitioner | 375 Wampanoag Trl Ste 102, Riverside, RI 02915 | 2010-11-11 |
| 1083930002 | Nancy R Guertin | Social Worker | 610wampanoagtrail, Eastprovidence, RI 02915 | 2010-04-15 |
| Find all providers in zip 02915 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659589489 | Christine Joy Phongdara | Nurse Practitioner | 4990 Arlington Ave Ste D, Riverside, CA 92504-2757 | 2007-05-17 |
| 1780296384 | Mayra Marlene Portillo | Nurse Practitioner | 3772 Tibbetts St, Riverside, CA 92506-2605 | 2020-08-17 |
| 1982996898 | Ming-chuan Chang | Nurse Practitioner | 3838 Sherman Dr, Sutie 10, Riverside, CA 92503-4001 | 2011-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437776978 | Kimberly Ann Kozlosky | Nurse Practitioner | 29 Nooseneck Hill Rd, Wyoming, RI 02898-1004 | 2020-07-01 |
| 1558840942 | Kathleen Rose Markiewicz | Nurse Practitioner | 325 Plain Street, Suite 401, Providence, RI 02905-2401 | 2018-08-07 |
| 1174931216 | Willa R. Campbell | Nurse Practitioner | 168 Betty Pond Rd, Hope, RI 02831-1123 | 2014-07-31 |
| 1346874039 | Shannon Nicole Baumgartner | Nurse Practitioner | 390 Toll Gate Rd Ste 201, Warwick, RI 02886-4326 | 2020-03-03 |
| 1093369936 | Jacalyn Sue Finerty | Nurse Practitioner | 101 Dudley St, Providence, RI 02905-2499 | 2019-07-29 |
| 1134699812 | Rachel A Eaton | Nurse Practitioner | 1 Cunningham Sq, Providence, RI 02918-7001 | 2018-11-26 |
| 1164991907 | Gabrielle Marie Kovarie | Nurse Practitioner | 1 Blackstone Pl, Providence, RI 02903-4942 | 2018-11-23 |
| 1467974873 | Jessica L Wood | Nurse Practitioner | 101 Dudley Street, Wih Triage/ldr, Providence, RI 02905-2401 | 2017-07-07 |
| 1912438581 | Ariana Ann Saccoccio | Nurse Practitioner | 1 Blackstone Street, 2nd Floor, Providence, RI 02903 | 2017-03-24 |
| 1689125775 | Mary Lou Lyons | Nurse Practitioner | 100 Ochre Point Ave, Newport, RI 02840-4149 | 2016-10-24 |
| 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.