Goldline Health and Wellness LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

GOLDLINE HEALTH AND WELLNESS LLC

Practice address

750 East Ave Lowr Level
Pawtucket, RI 02860-6245

Phone

(401) 433-9451

NPI assigned

Jun 20, 2020

Organization subpart

No

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

Authorized official

Name

Gold E Okoeka, APRN, PMHNPNPI 1083278030

Title

Nurse Practitioner

Phone

(401) 433-9451

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gold Ehianeta Okoeka, MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fall River, MA
  • NPI 1083278030

  RI

  Medicare reassignment NPD Authorized official
• Chinwendu Jennifer Chukwudike, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • New London, CT
  • NPI 1982176020

  RI

  Medicare reassignment NPD
• Peace Okoeka, PA-C

  • Physician Assistant
  • Boston, MA
  • NPI 1356112254

  RI

  Medicare reassignment

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

{
    "created_epoch": "1592611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1174149686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 EAST AVE LOWR LEVEL",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028606245",
            "telephone_number": "401-433-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 EAST AVE LOWR LEVEL",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028606245",
            "telephone_number": "401-433-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDLINE HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-20",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "OKOEKA",
        "authorized_official_first_name": "GOLD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "401-433-9451",
        "authorized_official_credential": "APRN, PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Jean Goff
• Kate Golbitz, MASTERS
• Golden Butterfly LLC
• Golden Hour Wellness LLC
• Harold Goldis, LICSW
• Sarah Goldstein, DPT
• Hailey Marie Gomersall
• Joanna Gomes-Gibau
• Elizabeth M Gomes, D.O.
• Justice Gomes

• Psychiatric/Mental Health Nurse Practitioner in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.