Individual provider Active NPI

Paula Goodrich, CRNA

  • Registered Nurse
  • Boston, MA
National Provider Identifier
1063615755
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
163773 Issued in MA
Practice address
243 Charles St
Boston, MA 02114-3002
Phone
(617) 573-3380
NPI assigned
Jun 8, 2007
Last updated
Dec 4, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 163773 MA Primary

Addresses

Primary practice location

243 Charles St
Boston, MA 02114-3002

Mailing address

243 Charles St
Boston, MA 02114-3002
Phone (617) 573-3380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090520000029 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638228703 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Consultants of Massachusetts LLCGroup PAC ID 3274905906, 9 clinicians
Icon Anesthesia Services of New England LLCGroup PAC ID 2668732041, 21 clinicians

Practice addresses (Care Compare)

50 Staniford St
Lbby Level
Boston, MA 02114-2544
Phone (617) 723-2015

51 State Rd
Dartmouth, MA 02747-3319
Phone (781) 585-9522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
163773MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Icon Anesthesia Services of New England LLC CurrentSince Jan 1, 2025 Accepting new patients
Anesthesia Professionals, Inc. CurrentSince May 1, 2020 Accepting new patients
Anesthesia Consultants of Massachusetts LLC CurrentSince Feb 1, 2023 Accepting new patients
Massachusetts Eye and Ear Associates, Inc. Past Accepting new patients

Locations

50 Staniford St
Boston, MA 02114
Phone (617) 723-2015

50 Staniford St
Lbby
Boston, MA 02114
Phone (617) 723-2015

145 West St
Milford, MA 01757
Phone (508) 381-5600

51 State Rd
North Dartmouth, MA 02747
Phone (508) 994-1400

146 Industrial Park Rd
Plymouth, MA 02360
Phone (508) 833-6000

400 10th St E
Waconia, MN 55387

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1063615755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 CHARLES ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143002",
            "telephone_number": "617-573-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 CHARLES ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143002",
            "telephone_number": "617-573-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODRICH",
        "first_name": "PAULA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "163773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.