Active NPI
Jenny Goldberg, CRNA
- Certified Registered Nurse Anesthetist
- York, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 648013
- Practice address
- 110 Pine Grove CMNS
York, PA 17403-5151 - Phone
- (717) 741-5257
- NPI assigned
- Jan 24, 2017
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 648013 | PA | Primary |
Addresses
Primary practice location
110 Pine Grove CMNS
York, PA 17403-5151
Mailing address
115 Dietz Estates Dr
York, PA 17404-9713
Phone (808) 778-2566
Other names 1
- Jenny Yamasaki
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 648013 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Anesthesia Care LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthetic Solutions, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Washington - TCS | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Metropolitan Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients |
Locations
400 10th St E
Waconia, MN 55387
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
689 NW Burnside Rd
Gresham, OR 97030
Phone (503) 382-8100
1333 E Barnett Rd
Medford, OR 97504
Phone (541) 779-4711
1130 NW 22nd Ave
Ste 410
Portland, OR 97210
Phone (503) 229-7137
7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
12050 SE Stevens Rd
Ste 400
Portland, OR 97086
Phone (971) 206-6100
1111 NE 99th Ave
Ste 302
Portland, OR 97220
Phone (503) 963-2707
1130 NW 22nd Ave
Ste 615
Portland, OR 97210
Phone (503) 229-7137
9701 SW Barnes Rd
Ste 300
Portland, OR 97225
Phone (503) 297-8081
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
13240 SW Pacific Hwy
Tigard, OR 97223
Phone (503) 639-6571
Organizations & group practices 6
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.
-
- Certified Registered Nurse Anesthetist
- Medford, OR
- NPI 1477022259
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Portland, OR
- NPI 1932464492
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Portland, OR
- NPI 1649816380
Nurse Anesthetist, Certified Registered
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Portland, OR
- NPI 1720387954
Nurse Anesthetist, Certified Registered
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485216000000",
"number": "1982141347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 DIETZ ESTATES DR",
"city": "YORK",
"state": "PA",
"postal_code": "174049713",
"telephone_number": "808-778-2566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 PINE GROVE CMNS",
"city": "YORK",
"state": "PA",
"postal_code": "174035151",
"telephone_number": "717-741-5257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "JENNY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-24",
"last_updated": "2017-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "648013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNY",
"last_name": "YAMASAKI",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.