TABITHA WALDEN GOLDENBERG (NPI# 1548381809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548381809 |
| Entity Type | Individual |
| Full Name | TABITHA WALDEN GOLDENBERG |
| Credential | RN |
| Practice Address |
1340 Arnold Dr Ste 200 Martinez CA 94553-4189 |
| Practice Telephone | 9239575128 |
| Mailing Telephone | 9239575128 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2009-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
307403 | CA | Nursing Service Providers |
| N | 364SC1501X |
Clinical Nurse Specialist Specialization: Community Health/Public Health |
RN307403 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1340 ARNOLD DR STE 200 |
| City | MARTINEZ |
| State | CA |
| Zip Code | 94553-4189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174669147 | Karen E Pratt | Marriage & Family Therapist | 1340 Arnold Dr Ste 200, Martinez, CA 94553-4189 | 2007-01-29 |
| 1235751603 | Lauren Matters | Student in an Organized Health Care Education/Training Program | 1340 Arnold Dr Ste 200, Martinez, CA 94553-4189 | 2020-05-08 |
| 1114561651 | Shaunna Eileen Devlin | Counselor | 1340 Arnold Dr Ste 200, Martinez, CA 94553-4189 | 2019-10-28 |
| 1417519448 | Meghan Fabian | Student in an Organized Health Care Education/Training Program | 1340 Arnold Dr Ste 200, Martinez, CA 94553-4189 | 2019-06-29 |
| 1306339833 | Norit Bercovicz | Student in an Organized Health Care Education/Training Program | 1340 Arnold Dr Ste 200, Martinez, CA 94553-4189 | 2018-06-09 |
| 1760982169 | Contra Costa County | Community/Behavioral Health | 1340 Arnold Dr Ste 200, Martinez, CA 94553-4189 | 2018-02-13 |
| 1083006464 | Joseph Shane Rocky Ortega | Registered Nurse | 1340 Arnold Dr Ste 200, Martinez, CA 94553-4189 | 2015-02-23 |
| 1285063859 | Lisa Michelle Noriega | Community Health Worker | 1340 Arnold Dr Ste 200, Martinez, CA 94553-4189 | 2013-11-05 |
| 1508295361 | Colleen Hasenpusch | Counselor | 1340 Arnold Dr Ste 200, Martinez, CA 94553-4189 | 2013-11-02 |
| 1033428503 | Katherine A Milano | Community Health Worker | 1340 Arnold Dr Ste 200, Martinez, CA 94553-4189 | 2010-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838709 | Melissa A Eaton | Health Educator | 200 Muir Rd., Attn Health Education Department, 3rd Floor, Ensenada Building, Martinez, CA 94553 | 2020-07-09 |
| 1427671965 | Kamri Elizabeth Hunt | Behavior Technician | 1220 Arnold Dr, Martinez, CA 94553 | 2020-05-19 |
| 1134741671 | Alex Rodriguez | Social Worker | 150 Nuir Road, Martinez, CA 94553 | 2020-05-07 |
| 1316405632 | Melissa Janine London | Psychologist | 150 Muir Road (116b), Martinez, CA 94553 | 2019-03-05 |
| 1942791025 | Morganne Elizabeth Lasley Juelich | Behavioral Analyst | 940 Lemon St, Martinez, CA 94553 | 2018-05-23 |
| 1457882243 | Ut Nguyen | Pharmacist | 400 Muir Rd, Martinez, CA 94553 | 2017-03-23 |
| 1346771144 | Irene Kuo | Pharmacist | 400 Muir Road, Martinez, CA 94553 | 2017-03-23 |
| 1407209802 | Gabrielle B De Los Reyes | Dentist | 1124 Arnold Drive #100, Martinez, CA 94553 | 2016-07-20 |
| 1619334745 | Randal Du | Pharmacist | 200 Muir Rd, Hacienda Bldg, Rm H1b18, Martinez, CA 94553 | 2016-01-20 |
| 1417329947 | Suja Samuel | Registered Nurse | 597 Center Avenue, Suite 200-a, Martinez, CA 94553 | 2015-10-23 |
| Find all providers in zip 94553 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619499357 | Orchid Archer | Registered Nurse | 702 Riverbend Drive, Martinez, GA 30907 | 2017-07-14 |
| 1063896892 | Patricia Anderson | Registered Nurse | 212 Woodland Dr, Martinez, GA 30907-1414 | 2015-07-10 |
| 1689717795 | Ad Jacobs | Registered Nurse | 202 Glacier Dr, Martinez, CA 94553-4826 | 2007-02-15 |
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| 1881292910 | Molly E Reid | Registered Nurse | 1000 S Grand Ave Apt 451, Los Angeles, CA 90015-3474 | 2020-10-12 |
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| 1609484476 | Loretta Lynn Ballard | Registered Nurse | 11514 Poema Pl Unit 102, Chatsworth, CA 91311-1114 | 2020-07-17 |
| 1174141550 | Aline Marie Bales | Registered Nurse | 1669 Marina Way, Brentwood, CA 94513-5133 | 2020-07-11 |
| 1447874730 | Deborah Colleen Rheinfurth | Registered Nurse | 25727 Mcbean Parkway, Valencia, CA 91355 | 2020-06-02 |
| 1235767393 | Julianne Vilardi | Registered Nurse | 3410 Birdsall Ave Unit B, Oakland, CA 94619-2621 | 2020-04-01 |
| 1275169328 | Jennifer Khan | Registered Nurse | 4201 Topanga Canyon Blvd Spc 113, Woodland Hills, CA 91364-5262 | 2020-03-20 |
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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.