Jennifer Gould, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

0001220659 Issued in VA

Practice address

702 Perry Dr
Fredericksburg, VA 22405-2241

Phone

(540) 287-8603

NPI assigned

Mar 6, 2015

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425600000000",
    "number": "1942693510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 PERRY DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224052241",
            "telephone_number": "540-419-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 PERRY DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224052241",
            "telephone_number": "540-287-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "JENNIFER",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "VA",
            "license": "0001220659",
            "primary": true
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "VA",
            "license": "L-48918",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Beth Gordon, PA-C
• Shimeal Gordon
• Pamela H Gorski, BCBA
• Goshen Counseling Services LLC
• Elizabeth Gotsios
• John Anderson Gould
• Christos Gousias, DDS, MS
• Joseph P Gowaty, PA-C
• Rohit Goyal, MD
• Sonia Goyal

• Lactation Consultant (Registered Nurse) in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Lactation Consultant (Registered Nurse) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.

Verify at the official NPI Registry.