Patricia Lousie Goldsboro

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

CN0028883482 Issued in GA

Practice address

8253 Creek St
Jonesboro, GA 30236-3920

Phone

(770) 756-9795

NPI assigned

Sep 3, 2008

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": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1114175197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8253 CREEK ST",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302363920",
            "telephone_number": "770-756-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8253 CREEK ST",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302363920",
            "telephone_number": "770-756-9795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSBORO",
        "first_name": "PATRICIA",
        "middle_name": "LOUSIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "GA",
            "license": "CN0028883482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Grace Personal Care Home Living Inc

• Nurse's Aide in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Nurse's Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.