Active NPI
Constance Ann Goldman, RN, MSN, CRNP
- Pediatric Nurse Practitioner
- Churchville, PA
National Provider Identifier
1942685060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- SPO14825
- Practice address
- 112 Schan Dr
Churchville, PA 18966-1620 - Phone
- (215) 355-9310
- NPI assigned
- Jul 30, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | SPO14825 | PA | Primary |
Addresses
Primary practice location
112 Schan Dr
Churchville, PA 18966-1620
Mailing address
112 Schan Dr
Churchville, PA 18966-1620
Phone (215) 355-9310
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 - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SPO14825 | PA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438214400000",
"number": "1942685060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 SCHAN DR",
"city": "CHURCHVILLE",
"state": "PA",
"postal_code": "189661620",
"telephone_number": "215-355-9310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 SCHAN DR",
"city": "CHURCHVILLE",
"state": "PA",
"postal_code": "189661620",
"telephone_number": "215-355-9310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDMAN",
"first_name": "CONSTANCE",
"middle_name": "ANN",
"credential": "RN, MSN, CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-30",
"last_updated": "2015-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "PA",
"license": "SPO14825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Churchville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.