Individual provider Active NPI

Tina Goldman, MSN, RN, CPNP-PC

  • Pediatric Nurse Practitioner
  • New Braunfels, TX
National Provider Identifier
1710051115
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP111845 Issued in TX
Practice address
1423 N Walnut Ave Ste 104
New Braunfels, TX 78130-6010
Phone
(830) 203-6395
Fax
(830) 203-6394
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0200X AP111845 TX Primary

Addresses

Primary practice location

1423 N Walnut Ave Ste 104
New Braunfels, TX 78130-6010

Mailing address

1423 N Walnut Ave Ste 104
New Braunfels, TX 78130-6010
Phone (830) 203-6395

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL tina.goldman@loveandgrowpediatrics.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040326000835 TX Practitioner - Nurse Practitioner 1052203874 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP111845TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast PLLC CurrentSince Jan 24, 2025 Accepting new patients
Privia Medical Group Gulf Coast, PLLC Single Specialty CurrentSince Jan 24, 2025 Accepting new patients
Stone Oak South Texas Center for Pediatric Care Single Specialty Past Accepting new patients

Locations

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

1200 Binz St
Ste 1490
Houston, TX 77004
Phone (713) 512-7027

1423 N Walnut Ave
Ste 104
New Braunfels, TX 78130
Phone (830) 203-6395

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

Interoperability endpoints

  • Direct secure messaging: tina.goldman.1@8042.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1710051115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 N WALNUT AVE STE 104",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306010",
            "telephone_number": "830-203-6395",
            "fax_number": "830-203-6394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 N WALNUT AVE STE 104",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306010",
            "telephone_number": "830-203-6395",
            "fax_number": "830-203-6394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "TINA",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP111845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tina.goldman@loveandgrowpediatrics.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1423 N Walnut Ave Ste 104",
            "city": "New Braunfels",
            "state": "TX",
            "country_code": "US",
            "postal_code": "781306010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.