Individual provider Active NPI

Jessa Naomi Goldstein, RN

  • Registered Nurse
  • North Kingstown, RI
National Provider Identifier
1306613286
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN59006 Issued in RI
Practice address
1950 Tower Hill Rd
North Kingstown, RI 02852-6639
Phone
(401) 294-6160
NPI assigned
Dec 11, 2023
Last updated
Dec 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN59006 RI Primary

Addresses

Primary practice location

1950 Tower Hill Rd
North Kingstown, RI 02852-6639

Mailing address

16 Marshall St Apt 2
Providence, RI 02909-1637
Phone (215) 490-3315

Other practice location 1

198 Waterman Ave
East Providence, RI 02914-3523
Phone (401) 431-2087

Other practice location 2

360 Duncan Dr
Providence, RI 02906-7003
Phone (401) 383-5150

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN59006RIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1306613286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MARSHALL ST APT 2",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029091637",
            "telephone_number": "215-490-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 TOWER HILL RD",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028526639",
            "telephone_number": "401-294-6160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "198 Waterman Ave",
            "address_purpose": "LOCATION",
            "city": "East Providence",
            "state": "RI",
            "postal_code": "029143523",
            "country_code": "US",
            "telephone_number": "401-431-2087",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Duncan Dr",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029067003",
            "country_code": "US",
            "telephone_number": "401-383-5150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "JESSA",
        "middle_name": "NAOMI",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "RI",
            "license": "RN59006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kingstown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.