Active NPI
Olga N Goldinov, FNP
- Family Nurse Practitioner
- Vancouver, WA
National Provider Identifier
1821657248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61008319
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN60209371 | WA | MD | Medical-Surgical Registered Nurse |
| 201909239NP-PP | OR | MD | Family Nurse Practitioner |
Interoperability endpoints
- olga.goldinov.p2@direct.alegiscare.nextgenshare.com
- 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.