Individual provider Active NPI

Christina E Goldie, ARNP

  • Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1558837930
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60882874 Issued in WA
Practice address
5300 Tallman Ave NW
Seattle, WA 98107-3932
Phone
(206) 782-2700
NPI assigned
Oct 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP60882874 WA Primary

Addresses

Primary practice location

5300 Tallman Ave NW
Seattle, WA 98107-3932

Mailing address

1821 E Thomas St Apt 101
Seattle, WA 98112-5193
Phone (425) 314-6811

Other identifiers 1

IdentifierTypeStateIssuer
1558837930MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190321001178 WA Practitioner - Nurse Practitioner 0446590822 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PeacehealthGroup PAC ID 9537073960, 292 clinicians

Practice addresses (Care Compare)

3301 Squalicum Pkwy
Bellingham, WA 98225-1919
Phone (360) 788-8222

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60882874WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Current Accepting new patients
Peacehealth CurrentSince Jan 17, 2022 Accepting new patients
Peacehealth CurrentSince Aug 13, 2022 Accepting new patients
Peacehealth CurrentSince Jan 17, 2022 Accepting new patients
Peacehealth Current Accepting new patients
Peacehealth CurrentSince Jan 17, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3301 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 788-8222

3015 Squalicum Pkwy
Ste 200
Bellingham, WA 98225
Phone (360) 733-2092

3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186

1117 Spring St
Friday Harbor, WA 98250
Phone (360) 378-1738

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

Interoperability endpoints

  • Direct secure messaging: cgoldie542142@direct.peacehealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1558837930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 E THOMAS ST APT 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981125193",
            "telephone_number": "425-314-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 TALLMAN AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073932",
            "telephone_number": "206-782-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDIE",
        "first_name": "CHRISTINA",
        "middle_name": "E",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60882874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558837930",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.