Individual provider Active NPI

Kim E Goldinger, NP

  • Family Nurse Practitioner
  • Pulaski, TN
National Provider Identifier
1982910758
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000015109 Issued in TN
Practice address
625 W Madison St
Pulaski, TN 38478-2611
Phone
(931) 424-7389
Fax
(931) 363-9891
NPI assigned
Aug 31, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000015109 TN Primary

Addresses

Primary practice location

625 W Madison St
Pulaski, TN 38478-2611

Mailing address

625 W Madison St
Pulaski, TN 38478-2611
Phone (931) 424-7389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110118000448 TN Practitioner - Nurse Practitioner 8729277025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN0000015109TNMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1982910758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W MADISON ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384782611",
            "telephone_number": "931-424-7389",
            "fax_number": "931-363-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W MADISON ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384782611",
            "telephone_number": "931-424-7389",
            "fax_number": "931-363-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDINGER",
        "first_name": "KIM",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-31",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000015109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pulaski, TN

Sources for this page

Verify at the official NPI Registry.