Sharon Lynn Goldman

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

27796 Issued in TN

Practice address

2372 Lifestyle Way Ste 152
Chattanooga, TN 37421-4940

Phone

(770) 490-1069

NPI assigned

Oct 13, 2021

Sex

Female

Sole proprietor

Yes

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

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1326700618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 OLD CHARLESTON RD NE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373126769",
            "telephone_number": "770-490-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2372 LIFESTYLE WAY STE 152",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214940",
            "telephone_number": "770-490-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "SHARON",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "27796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clay Paul Goins, DDS
• Golden RX Drug Inc
• Bobby Lee Golden, RPH
• John Vincent Golding III, MD
• Monique Golding, MD
• Patricia Goldston, RN
• Eva J Goldyn, LMT
• Cameron Edward Golightly, DO
• Virginia Golightly
• Kelly Marie Golliher, BS

• Adult Health Nurse Practitioner in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Adult Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.