Active NPI
Stephanie Nicole Goller, RN
- Registered Nurse
- Dayton, OH
National Provider Identifier
1124430327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN.341381
- Practice address
- 725 S Ludlow St
Dayton, OH 45402-2610 - Phone
- (937) 208-2004
- Fax
- (937) 208-8828
- NPI assigned
- May 22, 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 | RN.341381 | OH | Primary |
Addresses
Primary practice location
725 S Ludlow St
Dayton, OH 45402-2610
Mailing address
725 S Ludlow St
Dayton, OH 45402-2610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.341381 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400716800000",
"number": "1124430327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 S LUDLOW ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "454022610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 S LUDLOW ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "454022610",
"telephone_number": "937-208-2004",
"fax_number": "937-208-8828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLLER",
"first_name": "STEPHANIE",
"middle_name": "NICOLE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-22",
"last_updated": "2014-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.341381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.