Kimberly Ann Goldup, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F344010-1 Issued in NY

Practice address

1 Arlington Rd
Cohoes, NY 12047-4001

Phone

(518) 764-2511

NPI assigned

Feb 28, 2019

Last updated

Feb 28, 2019By 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

Enrolled in NY

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rensselaer County Bureau of Finance

  dba Van Rensselaer Manor

  • Skilled Nursing Facility
  • Troy, NY
  • NPI 1225273485
  Medicare reassignment NPD
• Statline Medical PC

  • Internal Medicine Physician
  • Cortlandt Manor, NY
  • NPI 1942872759
  Medicare reassignment NPD
• Rensselaer County Bureau of Finance

  • Mental Health Counselor
  • Troy, NY
  • NPI 1932130358
  NPD
• Rensselaer County Bureau of Finance

  dba Van Rensselaer Manor

  • Skilled Nursing Facility
  • Troy, NY
  • NPI 1942299581
  NPD (past)

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1861959686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ARLINGTON RD",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "120474001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ARLINGTON RD",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "120474001",
            "telephone_number": "518-764-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDUP",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F344010-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron Leon Ghyll
• Jennifer Gillin
• Susannah S Gleeson, ARNP
• Glens Falls Ambulance Service (Empire Ambulance Service)
• Meagan Golden
• Isaiah Gonsalves
• Joely Marie Graber, RPH
• Cailyn Florence Green, MS, CASAC
• Heather Green
• Erica Grim, PT, DPT

• Family Nurse Practitioner in Cohoes, NY
• Providers in Cohoes, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.