Lorraine Ann Goss, RN
Individual provider Active NPI Adult Health Nurse Practitioner · Corales, NM
NPI 1992911432 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992911432
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- R14606 (NM)
- Practice address
- 5 Camino del Sol St.
Corales, NM 87048 - Phone
- (505) 792-1516
- NPI assigned
- May 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Past | Accepting new patients | |
| Presbyterian Healthcare Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R14606 | NM | Yes |
Addresses
Primary practice location
5 Camino del Sol St.
Corales, NM 87048
Mailing address
PO Box 1860
Corrales, NM 87048-1860
Phone (505) 792-1516
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S6061 | Medicaid | NM |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.