Active NPI
Paula Goodrich, CRNA
- Registered Nurse
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 163773
- Practice address
- 243 Charles St
Boston, MA 02114-3002 - Phone
- (617) 573-3380
- NPI assigned
- Jun 8, 2007
- Last updated
- Dec 4, 2014
- 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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 163773 | MA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icon Anesthesia Services of New England LLC | Current | Accepting new patients | |
| Anesthesia Professionals, Inc. | Current | Accepting new patients | |
| Anesthesia Consultants of Massachusetts LLC | Current | 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.
-
- Certified Registered Nurse Anesthetist
- Boston, MA
- NPI 1881306496
-
- Anesthesiology Physician
- Middleton, MA
- NPI 1629583323
-
- Certified Registered Nurse Anesthetist
- Dartmouth, MA
- NPI 1659346443
-
- Ophthalmology Physician
- Providence, RI
- NPI 1598160095
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.