Ernestine Delores Goston

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

CG60527397 Issued in WA

Practice address

216 James St
Desc
Seattle, WA 98104

Phone

(206) 823-6193

Fax

(206) 652-1236

NPI assigned

Jun 12, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ernestine Delores Austin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545782400000",
    "number": "1255779203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 JAMES ST",
            "address_2": "DESC",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98104",
            "telephone_number": "206-823-6193",
            "fax_number": "206-652-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 JAMES ST",
            "address_2": "DESC",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98104",
            "telephone_number": "206-823-6193",
            "fax_number": "206-652-1236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2212 1st Ave",
            "address_2": "Kasota Apartments",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981211615",
            "country_code": "US",
            "telephone_number": "206-302-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOSTON",
        "first_name": "ERNESTINE",
        "middle_name": "DELORES",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2018-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WA",
            "license": "CG60527397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERNESTINE",
            "last_name": "AUSTIN",
            "middle_name": "DELORES",
            "credential": "PEER SPECIALIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher Hooper Goss
• J Richard Goss, MD
• Margaret Farley Goss, MSW, LICSW
• Jason Eddy Gosschalk, MD
• Rena Gosser, PHARMD
• Ashley Gothenquist
• Alan Goto, PARAMEDIC
• Keren Gott, MA, MHP, CDPT
• Paul E. Gott, M.D.
• James Edward Gottesman, MD

• Peer Specialist in Seattle, WA
• Providers in Seattle, WA by specialty
• Peer Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.

Verify at the official NPI Registry.