Kristen Rose Goettsch

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1205 Issued in CA

Practice address

249 E Ocean Blvd Ste 440
Long Beach, CA 90802-4806

Phone

(888) 808-7838

NPI assigned

Jan 15, 2013

Last updated

Jan 15, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jackson Jade & Associates, a Speech Pathology Corporation

  dba Jackson Jade Speech, Occupational & Physical Therapy

  • Speech-Language Pathologist
  • Franklin, TN
  • NPI 1639305014
  NPD (past)

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1194062778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 PALERMO WAY",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906314229",
            "telephone_number": "888-808-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 E OCEAN BLVD STE 440",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024806",
            "telephone_number": "888-808-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETTSCH",
        "first_name": "KRISTEN",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yessenia Godoy
• Goel & Cohen Dental Corporation
• Ritu Goel, M.D.
• Armen K Goenjian, MD
• Haig A Goenjian, MD
• Willie Henry Goffney Jr., MD
• Kailey Gogue
• Adelle Goguen, RPH
• Joshua Goh, M.D.
• Jay H. Goland, MD

• Speech-Language Pathologist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.