Active NPI
Amy Jeanne Goyette, RN
- Registered Nurse
- Warwick, RI
National Provider Identifier
1033225941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN33106
- Practice address
- 300 Centerville Rd
Suite 301S
Warwick, RI 02886 - Phone
- (401) 732-5656
- Fax
- (401) 738-8634
- NPI assigned
- Aug 22, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN33106 | RI | Primary |
Addresses
Primary practice location
300 Centerville Rd
Suite 301S
Warwick, RI 02886
Mailing address
239 Reynolds Ave
Apt 2
Warwick, RI 02889
Phone (401) 263-8739
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AG41677 | Medicaid | RI |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN33106 | RI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Behavioral Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- West Warwick, RI
- NPI 1790818128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033225941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "239 REYNOLDS AVE",
"address_2": "APT 2",
"city": "WARWICK",
"state": "RI",
"postal_code": "02889",
"telephone_number": "401-263-8739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CENTERVILLE RD",
"address_2": "SUITE 301S",
"city": "WARWICK",
"state": "RI",
"postal_code": "02886",
"telephone_number": "401-732-5656",
"fax_number": "401-738-8634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOYETTE",
"first_name": "AMY",
"middle_name": "JEANNE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "RI",
"license": "RN33106",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AG41677",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.