Individual provider Active NPI

Olga N Goldinov, FNP

  • Family Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1821657248
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61008319 Issued in WA
Practice address
417 SE 164TH Ave Ste 300
Vancouver, WA 98684-8944
Phone
(360) 896-6944
NPI assigned
Jun 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X RN60209371 WA
Family Nurse Practitioner 363LF0000X 201909239NP-PP OR
Family Nurse Practitioner 363LF0000X AP61008319 WA Primary

Addresses

Primary practice location

417 SE 164TH Ave Ste 300
Vancouver, WA 98684-8944

Mailing address

8101 NE 86TH Ave
Vancouver, WA 98662-2894

Other practice location 1

11404 NE 43rd Ave
Vancouver, WA 98686-4488
Phone (360) 713-7414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN60209371WAMDMedical-Surgical Registered Nurse
201909239NP-PPORMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: olga.goldinov.p2@direct.alegiscare.nextgenshare.com
  • Direct secure messaging: olga.goldinov.p1@direct.alegiscare.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1821657248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 NE 86TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986622894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 SE 164TH AVE STE 300",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986848944",
            "telephone_number": "360-896-6944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11404 NE 43rd Ave",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986864488",
            "country_code": "US",
            "telephone_number": "360-713-7414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDINOV",
        "first_name": "OLGA",
        "middle_name": "N",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "WA",
            "license": "RN60209371",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201909239NP-PP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61008319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.