Tammie L Goulart, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN782060 Issued in CA

Practice address

4290 Polk Avenue
San Diego, CA 92105-1524

Phone

(619) 563-0250

Fax

(619) 563-0293

NPI assigned

Sep 24, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tammie L. Murphy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1376851378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4290 POLK AVENUE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051524",
            "telephone_number": "619-563-0507",
            "fax_number": "619-563-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4290 POLK AVENUE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051524",
            "telephone_number": "619-563-0250",
            "fax_number": "619-563-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULART",
        "first_name": "TAMMIE",
        "middle_name": "L",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-24",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN782060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMIE",
            "last_name": "MURPHY",
            "middle_name": "L.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kim Robin Gottshall, PHD, PT, ATC
• Christine Gottung, LCSW
• Jordan Goucher
• Jennifer Goudreau, M.A.
• Erica Chelsey Goudy, PSYD
• Dianna Lynn Gould
• Elisabeth Christie Gould, L.AC.
• Emily Gould, NP
• Hilary Gould, PH.D.
• Lori A.W. Gould, M.D.

• Registered Nurse in San Diego, CA
• Providers in San Diego, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.