Active NPI
Joanna C Goldman, ANP CNM
- Midwife
- Juneau, AK
National Provider Identifier
1285686584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 39110009
- Practice address
- 2231 Jordan Ave
Juneau, AK 99801-8050 - Phone
- (907) 789-1812
- Fax
- (907) 789-7168
- NPI assigned
- May 16, 2006
- Last updated
- Oct 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 39110009 | AK | |
| Midwife | 176B00000X | 39110009 | AK | Primary |
Addresses
Primary practice location
2231 Jordan Ave
Juneau, AK 99801-8050
Mailing address
2231 Jordan Ave
Juneau, AK 99801-8050
Phone (907) 789-1812
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP0391 | Medicaid | AK |
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)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39110009 | AK | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193097600000",
"number": "1285686584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2231 JORDAN AVE",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998018050",
"telephone_number": "907-789-1812",
"fax_number": "907-789-7168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2231 JORDAN AVE",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998018050",
"telephone_number": "907-789-1812",
"fax_number": "907-789-7168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDMAN",
"first_name": "JOANNA",
"middle_name": "C",
"credential": "ANP CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2007-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "AK",
"license": "39110009",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "AK",
"license": "39110009",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP0391",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Juneau, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.