Pauline M Goss, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP1924 Issued in AZ

Practice address

5040 N 15TH Ave Ste 104
Phoenix, AZ 85015-3329

Phone

(623) 245-0505

Fax

(623) 245-3475

NPI assigned

Jan 3, 2007

Last updated

Jul 12, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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 (25 of 48)

Interoperability endpoints

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

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.

• Banner Urgent Care Arizona LLC

  • Urgent Care Clinic/Center
  • Casa Grande, AZ
  • NPI 1316349855
  Medicare reassignment NPD
• Banner Urgent Care Services, LLC

  • Urgent Care Clinic/Center
  • Scottsdale, AZ
  • NPI 1609229764
  Medicare reassignment NPD
• North Valley Emergency Specialists

  • Emergency Medicine Physician
  • Glendale, AZ
  • NPI 1285655209
  Medicare reassignment NPD
• Progressive Medical Associates PLLC

  • Emergency Medicine Physician
  • Mesa, AZ
  • NPI 1548218613
  Medicare reassignment NPD
• PNP Medical LLC

  • Pediatric Nurse Practitioner
  • Phoenix, AZ
  • NPI 1881576700

  Pediatrics

  NPD Authorized official
• Banner Urgent Care Arizona LLC

  • Urgent Care Clinic/Center
  • Payson, AZ
  • NPI 1194369074
  NPD
• Banner Urgent Care Services, LLC

  • Urgent Care Clinic/Center
  • San Tan Valley, AZ
  • NPI 1942653019
  NPD
• Banner Urgent Care Services, LLC

  • Urgent Care Clinic/Center
  • Tucson, AZ
  • NPI 1962855031
  NPD
• Elite ENT

  • Otolaryngology Physician
  • Phoenix, AZ
  • NPI 1457801300
  NPD (past)
• Maritza I. Irizarry MD Inc

  dba Sunshine Pediatrics

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1548273113
  NPD (past)
• Papa Bear Pediatrics

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1205540747
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1881751022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20701 N SCOTTSDALE RD STE 107-427",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556413",
            "telephone_number": "623-245-0505",
            "fax_number": "623-245-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 N 15TH AVE STE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153329",
            "telephone_number": "623-245-0505",
            "fax_number": "623-245-3475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 W Peoria Ave Ste D700",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850294612",
            "country_code": "US",
            "telephone_number": "602-863-1716",
            "fax_number": "602-863-1718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOSS",
        "first_name": "PAULINE",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "AP1924",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "RN127520",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Gosnell, MD
• Jaxson D Gosnell
• Ronald Gosnell, MD
• April Goss, RD
• Ca Litra Lynnette Goss
• Chelsea Gossett, LPC
• Sharon E Gossett
• Souzan Gost
• Sirigul Gosuwin
• Nikita Goswami

• Pediatric Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pediatric Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.