Joshua Aaron Goldberg, BC-AGCNS

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

AP133925 Issued in TX

Practice address

650 Joel Dr
Fort Campbell, KY 42223-5318

Phone

(270) 412-8376

NPI assigned

Jan 19, 2018

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516320000000",
    "number": "1770091027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 OLD HIGHWAY 48",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370408691",
            "telephone_number": "610-850-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 JOEL DR",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235318",
            "telephone_number": "270-412-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "JOSHUA",
        "middle_name": "AARON",
        "credential": "BC-AGCNS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-19",
        "last_updated": "2018-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "AP133925",
            "primary": true
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "TX",
            "license": "AP133925",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Craig Glenn, D.C.
• Andrew E Globke, PHARM.D.
• Blake Adam Glynn, PA-C
• Robin Eugene Goddard, PA-C
• Stephanie Y Godman, LCSW
• James Golder
• Regina G Goldwire, FNP-BC
• Fabia Gomez Salas, PSY.D.
• Andrea Gonzalez, PA-C
• Luz E. Gonzalez, M.D.

• Adult Health Clinical Nurse Specialist in Fort Campbell, KY
• Providers in Fort Campbell, KY by specialty
• Adult Health Clinical Nurse Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; 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.