Waldemar Melvin Goulet Jr., FNP-BC, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9196116 Issued in FL

Practice address

3505 University Blvd W
Jacksonville, FL 32217-2130

Phone

(904) 438-7683

NPI assigned

Jul 20, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1700806619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 KINGSWOOD RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322075429",
            "telephone_number": "904-673-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 UNIVERSITY BLVD W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172130",
            "telephone_number": "904-438-7683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULET",
        "first_name": "WALDEMAR",
        "middle_name": "MELVIN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "FNP-BC, NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "322401",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9196116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Gough, LCSW
• Alexandra Victoria Goulbourne
• Hannah Gould, MD
• Mark T Gould, MD
• Twanna M Gould, LD/N
• Sasha Gourgue, M.D
• Anne-Marie Gousse
• Goverdhan LLC
• Austin Bailey Govero, MD
• Lauren Elizabeth Goworowski, PSY.D.

• Family Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.