Amanda Goldman

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

R088024 Issued in AR

Practice address

405 Jackson 177
Newport, AR 72112-8532

Phone

(870) 217-3247

NPI assigned

Apr 14, 2023

Sex

Female

Sole proprietor

No

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, last updated by the provider on Apr 14, 2023.

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1669168407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 JACKSON 177",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721128532",
            "telephone_number": "870-217-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 JACKSON 177",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721128532",
            "telephone_number": "870-217-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "AR",
            "license": "R088024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaelin Garcia
• Alexandria Brooke Garrett
• Gates Eye Care Center, Inc.
• Jason Deon Gates, O.D.
• Leotis Gist, RECOVERY ASSISTANT
• Olivia Peek Goodon
• Ronald D Gore, DDS
• Stephen J. Graham Jr.
• Ahmad Granberry, CMP
• Green Valley Healthcare, LLC

• All providers in Newport, AR
• Pediatric Registered Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.