Peggy Walsh Goebel

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95004492 Issued in CA

Practice address

50 Montgomery Dr
Santa Rosa, CA 95404-6615

Phone

(707) 585-7780

Fax

(707) 585-7784

NPI assigned

Feb 21, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: pgoebel663992@direct.ochin.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jewish Community Free Clinic

  • Public Health or Welfare Agency
  • Santa Rosa, CA
  • NPI 1073843819
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1003373440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 SUMMER RAIN DR",
            "city": "WINDSOR",
            "state": "CA",
            "postal_code": "954928028",
            "telephone_number": "707-292-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MONTGOMERY DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954046615",
            "telephone_number": "707-585-7780",
            "fax_number": "707-585-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEBEL",
        "first_name": "PEGGY",
        "middle_name": "WALSH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Goderum
• Andrea Godinez Magdaleno
• Hector Manuel Godinez Jr.
• Maria Teresa Godino Conte
• Ceci Yazmin Godoy Barragan
• Hannah Goff
• Kelly Going, LVN
• Megan Goitein
• Debra Gold
• Jane Madeline Gold, LMFT

• Family Nurse Practitioner in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.