Nicole Marie Goulart

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

77704 Issued in MA

Practice address

100 Main St
North Easton, MA 02356-1409

Phone

(508) 238-1360

Fax

(508) 238-1372

NPI assigned

Aug 4, 2020

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

Practice roles

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.

• Village Speech LLC

  • Speech-Language Pathologist
  • N. Easton, MA
  • NPI 1891091500
  NPD (past)

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1134739154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 LIBERTY ST",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021846029",
            "telephone_number": "781-413-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAIN ST",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561409",
            "telephone_number": "508-238-1360",
            "fax_number": "508-238-1372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULART",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "77704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geoffrey W Gilson, M.D.
• Kathleen B Gilson, M.D.
• Jennifer S Goldblatt, NP
• Anika Goldman, PSY.D.
• Marjorie Goldstein-Fradin
• Greater Boston Urology, LLC
• Greenwheel Transportation LLC
• Melissa Gregory, PMHNP-BC
• Cassandra Guercia, PSYD
• Guidance to Insight Counseling LLC

• Speech-Language Pathologist in North Easton, MA
• Providers in North Easton, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.