Individual provider Active NPI

Brittney Irene Goldi, NP-C

  • Gerontology Nurse Practitioner
  • Perrysburg, OH
National Provider Identifier
1457997637
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN.CNP.026036 Issued in OH
Practice address
12611 Eckel Junction Rd
Perrysburg, OH 43551-1304
Phone
(419) 491-7150
NPI assigned
Nov 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN.CNP.026036 OH Primary
Primary Care Nurse Practitioner 363LP2300X LE-00030619 OH

Addresses

Primary practice location

12611 Eckel Junction Rd
Perrysburg, OH 43551-1304

Mailing address

846 Schmidlin Rd
Oregon, OH 43616-3402
Phone (419) 265-4259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20200415000211 OH Practitioner - Nurse Practitioner 0446685515 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.026036OHMDGerontology Nurse Practitioner
LE-00030619OHMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Jul 1, 2022 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Jul 1, 2022 Accepting new patients
Careline Poh100 LLC CurrentSince Oct 1, 2022 Accepting new patients

Locations

801 Rosehill Rd
Jackson, MI 49202
Phone (517) 212-2008

3550 Briarfield Blvd
Ste 300
Maumee, OH 43537
Phone (419) 452-2102

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

12611 Eckel Junction Rd
Perrysburg, OH 43551
Phone (419) 491-7150

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

Organizations & group practices 3

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": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1457997637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "846 SCHMIDLIN RD",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163402",
            "telephone_number": "419-265-4259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12611 ECKEL JUNCTION RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511304",
            "telephone_number": "419-491-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDI",
        "first_name": "BRITTNEY",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-21",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.026036",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "LE-00030619",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.