Madeline Paige Gottlieb

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP61377020 Issued in WA

Practice address

245 Mt Rainier PL NW
Issaquah, WA 98027-3005

Phone

(425) 443-8859

NPI assigned

Sep 11, 2023

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

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1063299543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 MT RAINIER PL NW",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980273005",
            "telephone_number": "425-443-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 MT RAINIER PL NW",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980273005",
            "telephone_number": "425-443-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTLIEB",
        "first_name": "MADELINE",
        "middle_name": "PAIGE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61377020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Gonn
• Madelyn Nicole Goodrow
• Kelly Kathleen Gordon, ARNP)
• Matthew Craig Gordon, M.D.
• Linda Gorzalski, OTR/L
• Gregory John Oellig Gould, DPT
• Cara V Graham, MSW, LICSW
• Michelle Granden, PHD, LMHCA
• Stephanie A. Granvall, P.A.-C
• Aaron Leo Gray

• Family Nurse Practitioner in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.