Colin Michael Goodbred, RN

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

RN10016673 Issued in MA

Practice address

93 Pearl St Apt 2F
Somerville, MA 02145-3229

Phone

(615) 496-8413

NPI assigned

Dec 10, 2024

Sex

Male

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

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": "1733788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1467268722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 PEARL ST APT 2F",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021453229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 PEARL ST APT 2F",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021453229",
            "telephone_number": "615-496-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODBRED",
        "first_name": "COLIN",
        "middle_name": "MICHAEL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "MA",
            "license": "RN10016673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Tereza Gomes
• Laura Gomez Machiavelo
• Julio Joel Gomez, AA
• Nichelle Gomez, MSW
• Gemima Fogaca Gonzalez
• Edward F Goodman, M.D.
• Dana Jill Gordon
• Lorraine Betwenik Gotlib, RNCS
• Aliya M Gottehrer Cohen
• Kerry Renjilian Gough, LPCC, LMHC

• Emergency Registered Nurse in Somerville, MA
• Providers in Somerville, MA by specialty
• Emergency Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.