Natasha Benfield Gouge, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

P0000003181 Issued in TN

Practice address

2002 Brookside Dr
Suite 200
Kingsport, TN 37660-4634

Phone

(423) 224-3933

Fax

(423) 224-3934

NPI assigned

Nov 6, 2014

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1487050233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 BROOKSIDE DR",
            "address_2": "SUITE 200",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604634",
            "telephone_number": "423-224-3933",
            "fax_number": "423-224-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 BROOKSIDE DR",
            "address_2": "SUITE 200",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604634",
            "telephone_number": "423-224-3933",
            "fax_number": "423-224-3934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "166 DeRosier Dr",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376145200",
            "country_code": "US",
            "telephone_number": "423-439-7777",
            "fax_number": "423-439-7780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOUGE",
        "first_name": "NATASHA",
        "middle_name": "BENFIELD",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-06",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P0000003181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487050233",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q013245",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Henry Goldsmith, OD
• George Daniel Gonzalez, M.D.
• Sherry Lynn Goode, NP
• Jami Nacole Goodwin, M.D.
• Ryan Wesley Gordon, M.D.
• Amber P Gourley, RD
• Grace Care Pharmacy
• Brittany Nicole Graham Dockery, LPN
• Amanda Nicole Graham, LPTA
• Tina Renee Graham, FNP

• Clinical Psychologist in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.