Rebecca A Goff, RN
Individual provider Active NPI Registered Nurse · Severn, MD
NPI 1366987232 · NPPES record last updated Dec 30, 2016
Key facts
- NPI
- 1366987232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R166611 (MD)
- Practice address
- 8304 Banister Rd
Severn, MD 21144-2822 - Phone
- (443) 453-6115
- Fax
- (844) 965-9440
- NPI assigned
- Dec 30, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R166611 | MD | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Picc Specialists, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R166611 | MD | Yes |
Addresses
Primary practice location
8304 Banister Rd
Severn, MD 21144-2822
Mailing address
8304 Banister Rd
Severn, MD 21144-2822
Phone (443) 453-6115
Other providers in Severn, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.