Jessica Goldberg

Primary specialty

AudiologistTaxonomy code 231H00000X

License

11567 Issued in NC

Practice address

927 N Brightleaf Blvd
Smithfield, NC 27577-4357

Phone

(919) 934-0948

Fax

(919) 934-0193

NPI assigned

Jul 29, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Eastern Carolina Ear Nose and Throat Associates PA

  • Otolaryngology/Facial Plastic Surgery Physician
  • Smithfield, NC
  • NPI 1831153402
  NPD (past)
• Evolve Medical Spa PLLC

  • Multi-Specialty Clinic/Center
  • Smithfield, NC
  • NPI 1194140129
  NPD (past)

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1013392208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 571",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275770571",
            "telephone_number": "919-934-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 N BRIGHTLEAF BLVD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774357",
            "telephone_number": "919-934-0948",
            "fax_number": "919-934-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "11567",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NC",
            "license": "11567",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NC",
            "license": "11567",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "11567",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric John Gloss, DO
• Kelly Godwin
• Randy W. Godwin I, DISPENSING OPTICIAN
• Daree Elaine Russell Goings, M.D.
• Nicole Brooks Goins, MS, OTR/L
• Jose Manuel Gonzalez-Martinez, FNP-BC
• Sarah Ann Gonzalez, ACNP-BC, APRN
• Mary Ellen Gordon
• Varun Goswami, MD
• Merrie Beth Gough

• Audiologist in Smithfield, NC
• Providers in Smithfield, NC by specialty
• Audiologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.