Flordeliza Dimaliwat Goleta, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R071571 Issued in MD

Practice address

4881 Sugar Maple Dr
Wright Pat, OH 45433-5529

Phone

(937) 257-6991

NPI assigned

Sep 1, 2005

Sex

Female

Sole proprietor

No

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.

• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 5, 2015.

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1497749758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR",
            "city": "WRIGHT PAT",
            "state": "OH",
            "postal_code": "454335529",
            "telephone_number": "937-257-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR",
            "city": "WRIGHT PAT",
            "state": "OH",
            "postal_code": "454335529",
            "telephone_number": "937-257-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLETA",
        "first_name": "FLORDELIZA",
        "middle_name": "DIMALIWAT",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-01",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R071571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Burket, D.O.
• Mason Anthony Calico
• Myles Chase Collins, DO
• Christina Anne Conley, PHARMD
• Nicholas C Coyne, MD
• Nancy Kay Gouveia, R.D.
• Maggie Mae Granatir
• Hattie Nicole Greer, PHARMD
• John Patrick Hall III, MD
• Joshua Andrew Hamilton, MD

• All providers in Wright Pat, OH
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.