Kelli J Goold, CFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

97822 Issued in ID

Practice address

6140 Curtisian Ave
Ste 400
Boise, ID 83704-8880

Phone

(208) 327-5600

Fax

(208) 327-5602

NPI assigned

Dec 4, 2006

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1154489110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 W CURTISIAN AVE STE 400",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048907",
            "telephone_number": "208-327-5600",
            "fax_number": "208-327-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 CURTISIAN AVE",
            "address_2": "STE 400",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048880",
            "telephone_number": "208-327-5600",
            "fax_number": "208-327-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOLD",
        "first_name": "KELLI",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "CFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "ID",
            "license": "97822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Tess Goodrich
• George William Goodridge, ATC, EMC
• Brieana Goods
• Mary Goodspeed, PMHNP
• Amina Nyoka Goodwin, M.D.
• Tobias P Gopon, MD
• James A Gorczyca, D.D.S.
• Nicholas Tyler Gorden
• Barbara Gordon
• Ella Mae Gordon, N.P.

• Surgical Assistant in Boise, ID
• Providers in Boise, ID by specialty
• Surgical Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.