Kristian Bernard Goulet, MB, BCH, BAO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

RS20070321 Issued in NM

Practice address

MSC 08
1 University of New Mexico
Albuquerque, NM 87131-0001

Phone

(505) 272-6225

NPI assigned

Jun 27, 2007

Last updated

Jun 18, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1558568162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6533 MESA MARIPOSA PL NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871203364",
            "telephone_number": "505-856-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MSC 08",
            "address_2": "1 UNIVERSITY OF NEW MEXICO",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-272-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULET",
        "first_name": "KRISTIAN",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "MB, BCH, BAO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "RS20070321",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "243449",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE NUMBER",
            "identifier": "RS20070321",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crismon Alexander Goude, D.D.S.
• Steven Gough, MD
• Connie M. Gould, LPCC
• Gregory Gould, LSAA
• Mark A Gould, PA
• Pooja Goundar
• Alice Gourd, OT
• Alicia Gourd
• Helena S Gouws, OT
• Amar P Govin, PHARMD

• Pediatrics Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Pediatrics Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; 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.