Amanda Emily Goldsworthy, R.N.

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

276474 Issued in OH

Practice address

7340 Brandtvista Ave
Huber Heights, OH 45424-3331

Phone

(937) 237-1196

NPI assigned

Aug 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Amanda Emily Austin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1639360456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7340 BRANDTVISTA AVE",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454243331",
            "telephone_number": "937-237-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7340 BRANDTVISTA AVE",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454243331",
            "telephone_number": "937-237-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSWORTHY",
        "first_name": "AMANDA",
        "middle_name": "EMILY",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "OH",
            "license": "276474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2122410",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "AUSTIN",
            "middle_name": "EMILY",
            "prefix": "MISS",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Gilliam, LSW
• Melissa Ann Gilliland, LPN
• William J Gioiello, D.D.S.
• Paulette Glenn
• Casey N. Godsey, RBT
• Anthony Gooden Jr.
• Graceworks Enahnced Living
• Graceworks Enhanced Living
• Consuela Green, LPN
• Patricia A Grice, MD

• Pediatric Registered Nurse in Huber Heights, OH
• Providers in Huber Heights, OH by specialty
• Pediatric Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.