Individual provider Active NPI

Angela Goldring, DNP, APRN

  • Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1417495334
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61234021 Issued in WA
Practice address
520 Denny Way
Seattle, WA 98109-5003
Phone
(833) 411-5469
NPI assigned
Feb 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP61234021 WA Primary

Addresses

Primary practice location

520 Denny Way
Seattle, WA 98109-5003

Mailing address

520 Denny Way
Seattle, WA 98109-5003
Phone (833) 411-5469

Other practice location 1

19723 Highway 99 Ste G
Lynnwood, WA 98036-6080
Phone (833) 411-5469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20170328002585 KY Practitioner - Nurse Practitioner 3375828627 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP61234021WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
600 Stewart Medical Group, P.C. CurrentSince Jul 11, 2022 Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner CurrentSince Apr 1, 2017 Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner Current Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner CurrentSince Apr 1, 2017 Accepting new patients

Locations

1930 Bishop Ln
Ste 1017
Louisville, KY 40218
Phone (502) 272-5064

210 E Gray St
Ste 700
Louisville, KY 40202
Phone (502) 629-5400

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

19723 Highway 99
Ste G
Lynnwood, WA 98036
Phone (425) 292-2102

520 Denny Way
Seattle, WA 98109

Interoperability endpoints

  • Direct secure messaging: agoldring40586@direct.nortonhealthcare.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1417495334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 DENNY WAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095003",
            "telephone_number": "833-411-5469",
            "fax_number": "855-459-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 DENNY WAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095003",
            "telephone_number": "833-411-5469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19723 Highway 99 Ste G",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "980366080",
            "country_code": "US",
            "telephone_number": "833-411-5469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDRING",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-11",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61234021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.