Individual provider Active NPI

Natoe L Goba, FNP-BC

  • Family Nurse Practitioner
  • Berwyn Heights, MD
National Provider Identifier
1023873239
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R232908 Issued in MD
Practice address
6201 Greenbelt Rd Ste M14
Berwyn Heights, MD 20740-2333
Phone
(301) 289-7722
Fax
(301) 441-2518
NPI assigned
Feb 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R232908 MD Primary

Addresses

Primary practice location

6201 Greenbelt Rd Ste M14
Berwyn Heights, MD 20740-2333

Mailing address

6201 Greenbelt Rd Ste M14
Berwyn Heights, MD 20740-2333
Phone (301) 289-7722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R232908MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aveon Services LLC Current Accepting new patients
Providence Residential Services Current Accepting new patients
Aveon Services Current Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1023873239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENBELT RD STE M14",
            "city": "BERWYN HEIGHTS",
            "state": "MD",
            "postal_code": "207402333",
            "telephone_number": "301-289-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 GREENBELT RD STE M14",
            "city": "BERWYN HEIGHTS",
            "state": "MD",
            "postal_code": "207402333",
            "telephone_number": "301-289-7722",
            "fax_number": "301-441-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBA",
        "first_name": "NATOE",
        "middle_name": "L",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R232908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.