Individual provider Active NPI

Deborah Jean Goettelman, M.S., BC-ARNP, CDE

  • Nurse Practitioner
  • St. Petersburg, FL
National Provider Identifier
1881649382
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1181602C Issued in FL
Practice address
Bay Pines VA Healthcare System
10000 Bay Pines Boulevard
St. Petersburg, FL 33744
Phone
(727) 398-6661
Fax
(727) 319-1052
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1181602C FL Primary

Addresses

Primary practice location

Bay Pines VA Healthcare System
10000 Bay Pines Boulevard
St. Petersburg, FL 33744

Mailing address

11230 Kapok Grand Cir
Madeira Beach, FL 33708-3016
Phone (727) 320-0859

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1181602CFLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1881649382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11230 KAPOK GRAND CIR",
            "city": "MADEIRA BEACH",
            "state": "FL",
            "postal_code": "337083016",
            "telephone_number": "727-320-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAY PINES VA HEALTHCARE SYSTEM",
            "address_2": "10000 BAY PINES BOULEVARD",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "33744",
            "telephone_number": "727-398-6661",
            "fax_number": "727-319-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETTELMAN",
        "first_name": "DEBORAH",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "M.S., BC-ARNP, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "1181602C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.