Anna Lillian Goldman

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

AP11216 Issued in AZ

Practice address

411 Borel Ave Ste 100
San Mateo, CA 94402-3516

Phone

(772) 217-4557

NPI assigned

May 5, 2018

Last updated

Feb 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: anna.miller@91098514915332.direct.elationemr.com

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

{
    "created_epoch": "1525478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1780173757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 N LAFAYETTE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802183508",
            "telephone_number": "319-217-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 BOREL AVE STE 100",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023516",
            "telephone_number": "772-217-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "ANNA",
        "middle_name": "LILLIAN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-05",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "AP11216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Angel Medical Transportation Inc
• Golden Angel Medical Transportation Inc
• Bethany Nourse Golden, CNM
• Michael David Goldfield, M.D.
• Peter Goldie, B.S.
• Monet Kosuke Goldman
• Alicia Goldstein, PHN, RN
• Ellen Eileen Goldstein, M.A.
• Linda Bencangey Goldstein, MA, MFT, REAT
• Rachel Goldstein

• Women's Health Nurse Practitioner in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Women's Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.