Melissa Faye Goldblatt, C.P.N.P.

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

0024167398 Issued in VA

Practice address

6303 Little River Tpke
Suite 300
Alexandria, VA 22312-5000

Phone

(703) 914-8989

Fax

(703) 914-5494

NPI assigned

Jun 29, 2007

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

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

• Children'S Medical Associates of Northern Virginia, P.C.

  • Pediatrics Physician
  • Alexandria, VA
  • NPI 1255450722
  NPD (past)

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932306362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 E RANDOLPH AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223011132",
            "telephone_number": "703-684-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 LITTLE RIVER TPKE",
            "address_2": "SUITE 300",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223125000",
            "telephone_number": "703-914-8989",
            "fax_number": "703-914-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBLATT",
        "first_name": "MELISSA",
        "middle_name": "FAYE",
        "name_prefix": "Ms.",
        "credential": "C.P.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024167398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geeti P. Gohari, M.D.
• Negar Gohari, OD
• Beth A. Goldberg, OTR, CHT
• David Mitchell Goldberg, OD
• Lisa Goldberg, DO
• Goldhealthpro LLC
• Wanda M Goldhush, D.D.S.
• Joel Gregory Goldman, M.D.
• Mark Golub, DDS
• Shirley Golub, LPC

• Pediatric Nurse Practitioner in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Pediatric Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.