Celia Gouldbourne-Dunkelly, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2301742 Issued in MA

Practice address

102 Clifton Ave
Springfield, MA 01105-1912

Phone

(413) 218-4699

NPI assigned

Sep 22, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: celia.gouldbournedunkelly.p1@direct.fallonhealth.nextgenshare.com

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.

• Body and Toes Consulting PLLC

  • Nurse Practitioner
  • Springfield, MA
  • NPI 1720915952
  NPD Authorized official

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1972382786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 CLIFTON AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011051912",
            "telephone_number": "413-218-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CLIFTON AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011051912",
            "telephone_number": "413-218-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULDBOURNE-DUNKELLY",
        "first_name": "CELIA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "2301742",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "2301742",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "2301742",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "2301742",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy S Gottlieb, MD
• David Theodore Goudreault, PA-C
• Robert A Goulart, MD
• Danielle Marie Gould, NP
• Fantasia Gould, LPN
• Sugam Gouli
• Linda L. Gourlay, NP
• Allyson M. Gouzounis, LICSW
• Rashi Govil, M.D.
• Shreyas D Gowdar, M.D.

• Nurse Practitioner in Springfield, MA
• Providers in Springfield, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.