Elena Vladimirovna Goloubeva, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11015411 Issued in FL

Practice address

100 N Dean Rd
Orlando, FL 32825-3710

Phone

(407) 384-7388

Fax

(407) 384-7391

NPI assigned

Oct 18, 2021

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

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HJGCAA

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.

• Digestive and Liver Center of FL, LLC

  • Gastroenterology Physician
  • Orlando, FL
  • NPI 1083742357
  Medicare reassignment NPD
• Primary Care Specialists of Florida, LLC

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1235808817
  Medicare reassignment NPD

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1811650690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14180 ALDFORD DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N DEAN RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328253710",
            "telephone_number": "407-384-7388",
            "fax_number": "407-384-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLOUBEVA",
        "first_name": "ELENA",
        "middle_name": "VLADIMIROVNA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11015411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Lynn Goldwire, MOT, OTR/L
• Lanz Nathaniel Golez, PHARMD
• Sridhar Reddy Goli, M.D.,
• Sindhu Golla, MD
• Daniela Grace Golob, BEHAVIOR TECHNICIAN
• Nikita Golovachev, MD
• Yevgeniya Goltser, D.O
• Daniel E Goltz
• Sarah Gomaa, MA, LMHC
• Holly E Gombs, MA CCC SLP

• Nurse Practitioner in Orlando, FL
• Providers in Orlando, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.