ELLEN CRYSTAL GOSS (NPI# 1619232857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619232857 |
| Entity Type | Individual |
| Full Name | ELLEN CRYSTAL GOSS |
| Credential | FNP |
| Practice Address |
4790 E Camp Lowell Dr Tucson AZ 85712-1275 |
| Practice Telephone | 5203195922 |
| Practice Fax Number | 5203196128 |
| Mailing Telephone | 5203195922 |
| Mailing Fax Number | 5203196128 |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2016-05-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP4508 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 714721 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174652218 | Ellen M Goss | Counselor | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2007-03-05 |
| Street Address |
4790 E CAMP LOWELL DR |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712-1275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700804366 | Mark Charles Goldberg | Internal Medicine | 4790 E Camp Lowell Dr, Tucson, AZ 85712-1275 | 2006-07-18 |
| 1891070371 | Rachel Lee Doerr | Nurse Practitioner | 4790 E Camp Lowell Dr, Tucson, AZ 85712-1275 | 2011-10-17 |
| 1881874949 | Mark C Goldberg, Md PC | Specialist | 4790 E Camp Lowell Dr, Tucson, AZ 85712-1275 | 2007-11-06 |
| 1962589002 | Jessica Hoffman | Family Medicine | 4790 E Camp Lowell Dr, Tucson, AZ 85712-1275 | 2006-11-01 |
| 1730266776 | Tucson Cardiovascular Imaging LLC | Clinic/Center | 4790 E Camp Lowell Dr, Tucson, AZ 85712-1275 | 2006-11-01 |
| 1265519300 | Merri A Miller | Family Medicine | 4790 E Camp Lowell Dr, Tucson, AZ 85712-1275 | 2006-11-01 |
| 1730271198 | Tucson Cardiovascular Associates | Specialist | 4790 E Camp Lowell Dr, Tucson, AZ 85712-1275 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104950 | Nancy Rae Klug | Registered Nurse | 2380 N Ferguson Ave., Tucson, AZ 85712 | 2020-08-12 |
| 1013525534 | James Tutu Fiske I | Nurse Practitioner | 5700 E. Pima Street Suite C., Tucson, AZ 85712 | 2020-07-21 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1770133282 | Elizabeth Nadeschzda Lowell | Nurse Practitioner | 4881 E Grant Road, Suite 101, Tucson, AZ 85712 | 2019-09-17 |
| 1174185649 | Pisa Asc Holdco LLC | Clinic/Center | 4741 E Camp Lowell Drive, Tucson, AZ 85712 | 2019-07-03 |
| 1548821838 | Painted Sky Healthcare, Inc. | Hospice Care, Community Based | 2980 N Swan Rd Ste 222, Tucson, AZ 85712 | 2019-06-26 |
| 1558925644 | Helen Jane Lyall | Registered Nurse | Tucson Medical Centre, 5301 E Grant Road, Tucson, AZ 85712 | 2019-04-24 |
| 1760953541 | Anna Marissa Ramirez | Nurse Practitioner | 5170 E Glenn St Ste 160, Tucson, AZ 85712 | 2018-12-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1003322926 | Millennium Acupuncture | Acupuncturist | 6161 E Pima St Tucson Az 85712, Apt 2074, Tucson, AZ 85712 | 2017-12-15 |
| Find all providers in zip 85712 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809165 | Barbara Powers | Nurse Practitioner | 9251 E Snyder Rd, Tucson, AZ 85749-9443 | 2020-10-19 |
| 1942808431 | Vera Adell Dujmic | Nurse Practitioner | 10959 E Actinidia St, Tucson, AZ 85747-8862 | 2020-10-15 |
| 1376141184 | Laura E Ahumada | Nurse Practitioner | 3417 N Sand Creek Ct, Tucson, AZ 85745-7126 | 2020-10-14 |
| 1548876675 | Kara Gilliland | Nurse Practitioner | 5129 W Placita Del Herrero, Tucson, AZ 85745-9720 | 2020-09-23 |
| 1386250736 | Blue Sky Mental Health and Wellness Pllc | Nurse Practitioner | 7563 E Park View Dr, Tucson, AZ 85715-3561 | 2020-09-21 |
| 1770196628 | Victoria C. Weirick | Nurse Practitioner | 7733 E Marquise Dr, Tucson, AZ 85715-3778 | 2020-08-28 |
| 1326650144 | Ignacio William Nunez | Nurse Practitioner | 1570 E Tucson Marketplace Blvd, Tucson, AZ 85713-6568 | 2020-08-21 |
| 1235749656 | Rebecca Diaz | Nurse Practitioner | 5874 S Fiorenza Pl, Tucson, AZ 85747-6005 | 2020-08-01 |
| 1013526409 | Lora K White | Nurse Practitioner | 4170 N Camino Arco, Tucson, AZ 85718-7064 | 2020-07-30 |
| 1700495306 | Karma Selina Carty | Nurse Practitioner | 6121 E 20th St, Tucson, AZ 85711-5217 | 2020-07-29 |
| Find all providers in TUCSON | ||||
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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.