Individual provider Active NPI

Sandra Goulet, RN

  • Perinatal Registered Nurse
  • Annapolis, MD
National Provider Identifier
1174747794
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Perinatal Registered NurseTaxonomy code 163WP1700X
License
R066478 Issued in MD
Practice address
3 Harry S Truman Pkwy
Annapolis, MD 21401-7031
Phone
(410) 222-7381
NPI assigned
Apr 13, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Perinatal Registered Nurse 163WP1700X R066478 MD Primary

Addresses

Primary practice location

3 Harry S Truman Pkwy
Annapolis, MD 21401-7031

Mailing address

1302 Romancoke Rd
Stevensville, MD 21666-2818
Phone (443) 249-0046

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

LicenseStateTypeSpecialty
R066478MDMDPerinatal Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174747794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 ROMANCOKE RD",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662818",
            "telephone_number": "443-249-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HARRY S TRUMAN PKWY",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017031",
            "telephone_number": "410-222-7381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULET",
        "first_name": "SANDRA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP1700X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Perinatal",
            "state": "MD",
            "license": "R066478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.