Individual provider Active NPI

Jennifer Lee Goldsmith, CPNP

  • Pediatric Nurse Practitioner
  • Simpsonville, SC
National Provider Identifier
1104002682
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
3981 Issued in SC
Practice address
312 Harrison Bridge Rd
Simpsonville, SC 29680-7133
Phone
(864) 272-0388
Fax
(864) 213-9237
NPI assigned
Jan 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 3981 SC Primary

Addresses

Primary practice location

312 Harrison Bridge Rd
Simpsonville, SC 29680-7133

Mailing address

525 Verdae Blvd Ste 200
Greenville, SC 29607-4021
Phone (864) 272-0388

Other practice location 1

145 E Poinsett St
Greer, SC 29651-3405
Phone (864) 272-0388

Other practice location 2

3020 Reidville Rd Ste B
Spartanburg, SC 29301-5641
Phone (864) 272-0388

Other practice location 3

211 Batesville Rd
Simpsonville, SC 29681-4816
Phone (864) 272-0388

Other practice location 4

525 Verdae Blvd Ste 200
Greenville, SC 29607-4021
Phone (864) 272-0388

Other names 1

  • Jennifer Lee Foster Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210930001321 SC Practitioner - Nurse Practitioner 4981001120 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3981SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Affiliate Physicians CurrentSince Aug 1, 2021 Accepting new patients
University Medical Associates Past Accepting new patients
Musc Affiliate Physicians PastSince May 25, 2021 Accepting new patients

Locations

525 Verdae Blvd
#200
Greenville, SC 29607
Phone (864) 603-5600

145 E Poinsett St
Greer, SC 29651
Phone 86460356003222

2 Hatcher Creek St
Simpsonville, SC 29680

312 Harrison Bridge Rd
Simpsonville, SC 29680
Phone (864) 603-5600

559 Harrison Bridge Rd
Simpsonville, SC 29680

211 Batesville Rd
Simpsonville, SC 29681

3020 Reidville Rd
#B
Spartanburg, SC 29301
Phone (846) 576-5764

Interoperability endpoints

  • Direct secure messaging: jennifer.goldsmith@tribe513.eclinicaldirectplus.com

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": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1104002682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 VERDAE BLVD STE 200",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074021",
            "telephone_number": "864-272-0388",
            "fax_number": "864-213-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 HARRISON BRIDGE RD",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807133",
            "telephone_number": "864-272-0388",
            "fax_number": "864-213-9237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 E Poinsett St",
            "address_purpose": "LOCATION",
            "city": "Greer",
            "state": "SC",
            "postal_code": "296513405",
            "country_code": "US",
            "telephone_number": "864-272-0388",
            "fax_number": "864-213-9237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3020 Reidville Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293015641",
            "country_code": "US",
            "telephone_number": "864-272-0388",
            "fax_number": "864-213-9237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 Batesville Rd",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296814816",
            "country_code": "US",
            "telephone_number": "864-272-0388",
            "fax_number": "864-213-9237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 Verdae Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296074021",
            "country_code": "US",
            "telephone_number": "864-272-0388",
            "fax_number": "864-213-9237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSMITH",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-15",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "SC",
            "license": "3981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "FOSTER",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Simpsonville, SC

Sources for this page

Verify at the official NPI Registry.