Active NPI
Dora Goldman Willey
- Laboratory Management Specialist/Technologist
- Nashville, TN
National Provider Identifier
1689436552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Laboratory Management Specialist/Technologist
- License
- 60040
- Practice address
- 4015 Travis Drive Ste 211 #1061
Nashville, TN 37211 - Phone
- (971) 271-1963
- NPI assigned
- Jan 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Laboratory Management Specialist/Technologist | 246QL0900X | 60040 | OR | Primary |
Addresses
Primary practice location
4015 Travis Drive Ste 211 #1061
Nashville, TN 37211
Mailing address
4015 Travis Drive Ste 211 #1061
Nashville, TN 37211
Phone (971) 271-1963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60040 | OR | MD | Laboratory Management Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1689436552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4015 TRAVIS DRIVE STE 211 #1061",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "37211",
"telephone_number": "971-271-1963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4015 TRAVIS DRIVE STE 211 #1061",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "37211",
"telephone_number": "971-271-1963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDMAN WILLEY",
"first_name": "DORA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-26",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "246QL0900X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Laboratory Management",
"state": "OR",
"license": "60040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.