Active NPI
Debra Goral
- Registered Nurse
- Columbia, MD
National Provider Identifier
1184190878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN175069
- Practice address
- 7223 Lee Deforest Dr
Columbia, MD 21046-3236 - Phone
- (443) 430-8312
- NPI assigned
- Oct 19, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | RN175069 | AZ | Primary |
Addresses
Primary practice location
7223 Lee Deforest Dr
Columbia, MD 21046-3236
Mailing address
1317 Partridge CT
Oshkosh, WI 54904-8840
Phone (623) 226-9429
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN175069 | AZ | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539907200000",
"number": "1184190878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 PARTRIDGE CT",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549048840",
"telephone_number": "623-226-9429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7223 LEE DEFOREST DR",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210463236",
"telephone_number": "443-430-8312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORAL",
"first_name": "DEBRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-19",
"last_updated": "2018-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN175069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.