CAROLE ELAINE GOOCH (NPI# 1578777967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578777967 |
| Entity Type | Individual |
| Full Name | CAROLE ELAINE GOOCH |
| Credential | APRN,BC |
| Practice Address |
30 Ward Mountain Rd Kingston GA 30145-1129 |
| Practice Telephone | 7062664387 |
| Practice Fax Number | 7062917383 |
| Mailing Telephone | 7062664387 |
| Mailing Fax Number | 7062917383 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2011-03-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN069392 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RN069392 | LIC # | 01 |
| Street Address |
30 WARD MOUNTAIN RD |
| City | KINGSTON |
| State | GA |
| Zip Code | 30145-1129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073774105 | House Calls of Nw Georgia, LLC | Nurse Practitioner | 30 Ward Mountain Rd, Kingston, GA 30145-1129 | 2008-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134241755 | Joy Hafner Bailey | Counselor | 38 Lowry Way, Kingston, GA 30145 | 2007-04-04 |
| 1700281664 | Christa Care Home and Health Services Inc | Home Health | 486 Brewer Rd, Kingston, GA 30145-1821 | 2014-11-04 |
| 1841656600 | Michele Abdul-qawiy | Counselor | 486 Youngs Mill Rd, Kingston, GA 30145-1864 | 2016-01-11 |
| 1700242575 | Tracey Cooke | Counselor | 486 Youngs Mill Rd, Kingston, GA 30145-1864 | 2016-01-11 |
| 1912328097 | Brandon Williamson | Specialist/Technologist | 16 Talon Ct, Kingston, GA 30145-1868 | 2013-12-17 |
| 1679017750 | Moore Surgical Assistant, LLC | Specialist/Technologist, Other | 80 Moore Rd, Kingston, GA 30145-2619 | 2016-12-08 |
| 1407166598 | Peggy Jo Mccomas | Licensed Practical Nurse | 25 Moss Ln, Euharlee, GA 30145-2762 | 2010-10-07 |
| 1073092144 | Joel Rader | Speech-Language Pathologist | 1061 Euharlee Rd, Euharlee, GA 30145-2807 | 2018-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234252 | Healthstar Physicians of Hot Springs, Pllc | Family Medicine | 220 Madison 2620, Kingston, AR 72742 | 2020-10-29 |
| 1225637309 | Christine Marie Pabst | Nurse Practitioner | 667 Meadowland Ave, Kingston, PA 18704-5316 | 2020-10-20 |
| 1952908386 | Ulster Dialysis, LLC | Clinic/Center | 900 Miron Ln, Kingston, NY 12401-1567 | 2020-10-08 |
| 1386241636 | Mellissa Ilgen, Dds, Pllc | Clinic/Center | 26114 Illinois Ave Ne, Kingston, WA 98346-7674 | 2020-10-08 |
| 1154938744 | Dale Sumilang | Registered Nurse | 55 Lower College Rd Rm 204, Kingston, RI 02881-1972 | 2020-09-28 |
| 1942817689 | Brenna Grace Maynard | Student in an Organized Health Care Education/Training Program | 55 Lower College Rd, Kingston, RI 02881-1972 | 2020-09-27 |
| 1790398626 | Carmine P Milo | Registered Nurse | 22 Dunwoodie Dr, Kingston, NY 12401-6920 | 2020-08-29 |
| 1659984268 | Julia Ann Forbes | Social Worker | 3 Schoolhouse Ln, Kingston, MA 02364-1861 | 2020-08-25 |
| 1679185565 | Gina Weidow | Social Worker | 480 Pierce St Ste 316, Kingston, PA 18704-5512 | 2020-08-20 |
| 1053922245 | Olivia R Mackrell | Social Worker | 1023 Decker St, Kingston, NY 12401-1405 | 2020-08-12 |
| Find all providers in KINGSTON | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743182 | Kate Zinkowski | Nurse Practitioner | 14 Standish Ave W, Kingston, MA 02364-1766 | 2020-02-27 |
| 1518423078 | Onsite Care, LLC | Nurse Practitioner | 808 Tyler Pl, Kingston, TN 37763-3515 | 2019-02-20 |
| 1275061467 | Ayandeh Health LLC | Nurse Practitioner | 7 N Main Street, Kingston, OK 73439 | 2017-06-01 |
| 1992257976 | Yufang Ku Johnson | Nurse Practitioner | 98 Forest Hill Dr, Kingston, NY 12401-7411 | 2016-10-26 |
| 1619373412 | Kari Beth-hinderliter | Nurse Practitioner | 5988 State St, Kingston, MI 48741 | 2014-11-06 |
| 1356335459 | Jacqueline E Howard | Nurse Practitioner | 814 N Kentucky St, Kingston, TN 37763-2635 | 2005-09-02 |
| 1932750783 | Jennifer Lacina | Nurse Practitioner | 40 Hurley Ave Ste 4, Kingston, NY 12401-3738 | 2019-09-24 |
| 1801343884 | Maggie M Haywood | Nurse Practitioner | 560 Pierce St, Kingston, PA 18704-5716 | 2016-09-07 |
| 1104279850 | Stephanie Grencavage | Nurse Practitioner | 390 Pierce St, Kingston, PA 18704-5532 | 2016-07-18 |
| 1619323516 | Celtic Healthcare of Ne Pa, Inc. | Nurse Practitioner | 601 Wyoming Ave, Kingston, PA 18704-3701 | 2016-05-10 |
| Find all providers in KINGSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.