Marina Gougoulian

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

1450 S Havana St
# 707
Aurora, CO 80012-4018

Phone

(720) 748-7843

Fax

(720) 748-2174

NPI assigned

Sep 2, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Beacon Home Care

  • In Home Supportive Care Agency
  • Aurora, CO
  • NPI 1477913416
  NPD (past)

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1740658152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 S HAVANA ST",
            "address_2": "# 707",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124018",
            "telephone_number": "720-748-7843",
            "fax_number": "720-748-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 S HAVANA ST",
            "address_2": "# 707",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124018",
            "telephone_number": "720-748-7843",
            "fax_number": "720-748-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUGOULIAN",
        "first_name": "MARINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "CO",
            "license": "970221188",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaeda Gothberg, CAA
• Emily Welsh Gottenborg
• Peter Gottlieb, MD
• Amber Elaine Gottschalk, CACI
• Alexis Ann Gough, M.D.
• Alexander Jay Gould, MD
• Lauren Marie Gould, MA, LPC
• Michael Philip Gould, MD
• Eric Gourley
• Kristin M Govek, CAA

• Personal Care Attendant in Aurora, CO
• Providers in Aurora, CO by specialty
• Personal Care Attendant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.