Active NPI
Gloria Jean Goulding, L.M.T.
- Health Educator
- Phoenix, AZ
National Provider Identifier
1184948036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- MT-12526
- Practice address
- 3031 E Charleston Ave
Phoenix, AZ 85032-1172 - Phone
- (217) 474-6006
- NPI assigned
- Mar 22, 2010
- Last updated
- Mar 22, 2010
- 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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | MT-12526 | AZ | Primary |
Addresses
Primary practice location
3031 E Charleston Ave
Phoenix, AZ 85032-1172
Mailing address
3031 E Charleston Ave
Phoenix, AZ 85032-1172
Phone (217) 474-6006
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 |
|---|---|---|---|
| MT-12526 | AZ | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269216000000",
"number": "1184948036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3031 E CHARLESTON AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850321172",
"telephone_number": "217-474-6006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3031 E CHARLESTON AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850321172",
"telephone_number": "217-474-6006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOULDING",
"first_name": "GLORIA",
"middle_name": "JEAN",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-22",
"last_updated": "2010-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "AZ",
"license": "MT-12526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.