Individual provider Active NPI

Audrey Denise Goldsmith

  • Home Health Clinical Nurse Specialist
  • Birmingham, AL
National Provider Identifier
1477290237
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Clinical Nurse SpecialistTaxonomy code 364SH0200X
License
1-121003 Issued in AL
Practice address
1329 Forestdale Blvd Ste 201
Birmingham, AL 35214-3022
Phone
(205) 470-3300
Fax
(205) 734-0919
NPI assigned
May 13, 2022
Last updated
Jan 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WH0200X 1-121003 AL
In Home Supportive Care Agency 253Z00000X
Home Health AideGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 374U00000X AL
Home Health Clinical Nurse Specialist 364SH0200X 1-121003 AL Primary

Addresses

Primary practice location

1329 Forestdale Blvd Ste 201
Birmingham, AL 35214-3022

Mailing address

1329 Forestdale Blvd Ste 201
Birmingham, AL 35214-3022
Phone (205) 470-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1-121003ALMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Touch of Care Home Health Services Home Health CurrentSince Feb 8, 2023 Accepting new patients

Locations

1329 Forestdale Blvd
Ste 201
Birmingham, AL 35214
Phone (205) 470-3300

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1477290237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 FORESTDALE BLVD STE 201",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352143022",
            "telephone_number": "205-470-3300",
            "fax_number": "205-734-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 FORESTDALE BLVD STE 201",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352143022",
            "telephone_number": "205-470-3300",
            "fax_number": "205-734-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSMITH",
        "first_name": "AUDREY",
        "middle_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-13",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "AL",
            "license": "1-121003",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "364SH0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": "AL",
            "license": "1-121003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.