MS. NICOLE S. GOLDBERG (NPI# 1659595171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659595171 |
| Entity Type | Individual |
| Full Name | MS. NICOLE S. GOLDBERG |
| Other Name | NICOLE S. SOUTHARD |
| Credential | CPNP |
| Practice Address |
1830 Town Center Dr Suite # 205 Reston VA 20190-3292 |
| Practice Telephone | 7034353636 |
| Practice Fax Number | 7034359145 |
| Mailing Telephone | 7034353636 |
| Mailing Fax Number | 7034359145 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2014-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
0024165394 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 7793588 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114975927 | Nicole J Goldberg | Pharmacist | 200 E 9th Ave, Denver, CO 80203-2903 | 2006-05-04 |
| 1659870822 | Nicole Goldberg | Rehabilitation Practitioner | 1903 S Jones Blvd, Las Vegas, NV 89146-1260 | 2018-02-02 |
| 1649711334 | Nicole Friedman Goldberg | Marriage & Family Therapist | 22020 Clarendon St, Suite 208, Woodland Hills, CA 91367-6335 | 2017-03-14 |
| Street Address |
1830 TOWN CENTER DR SUITE # 205 |
| City | RESTON |
| State | VA |
| Zip Code | 20190-3292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427032564 | Richard L Stokes IIi | Specialist | 1830 Town Center Dr, Suite 207, Reston, VA 20190-3292 | 2005-12-02 |
| 1811351166 | Loudoun Medical Group PC | Urology | 1830 Town Center Dr, Suite 306, Reston, VA 20190-3292 | 2016-04-12 |
| 1306211370 | Urology Center-usa Inc | Specialist | 1830 Town Center Dr, Suite 301, Reston, VA 20190-3292 | 2015-12-02 |
| 1164787065 | Aishah Carol Hassan | Voluntary or Charitable | 1830 Town Center Dr, Reston, VA 20190-3292 | 2012-07-07 |
| 1063739324 | Healthy Heart Sleep Center, LLC | Clinical Medical Laboratory | 1830 Town Center Dr, Suite 405, Reston, VA 20190-3292 | 2010-04-27 |
| 1578729216 | Tae Joon Chung, Md PC | Internal Medicine | 1830 Town Center Dr, Suite 308, Reston, VA 20190-3292 | 2008-08-01 |
| 1316110125 | Richard Lee Cho | Psychiatry & Neurology | 1830 Town Center Dr, Suite 305, Reston, VA 20190-3292 | 2008-04-12 |
| 1730364969 | Rabih Kanan Hamzeh | Specialist | 1830 Town Center Dr, Suite #303, Reston, VA 20190-3292 | 2008-01-07 |
| 1710160205 | M Karim Ali Md Facs PC | Otolaryngology | 1830 Town Center Dr, Suite 209, Reston, VA 20190-3236 | 2007-12-07 |
| 1689855587 | David K Chow, Md, PC | Ophthalmology | 1830 Town Center Dr, Suite 210, Reston, VA 20190-3292 | 2007-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912548470 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 | 2019-10-04 |
| 1205483260 | Northern Virginia Applied Behavior Analysis, L.L.C. | Behavioral Analyst | 1984 Issac Newton Square West, Suite 204, Reston, VA 20190 | 2019-08-23 |
| 1336796481 | Sandra Chiunda | Nurse Practitioner | 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 | 2019-08-23 |
| 1891357232 | Beyond Counseling, Inc. | Clinic/Center | 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 | 2019-07-06 |
| 1003470063 | Sarah Katharina Jungnitsch | Registered Nurse | Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 | 2019-04-25 |
| 1194202341 | May Health Care Services Inc | Home Health | 12110 Sunset Hills Road Suite 600, Reston, VA 20190 | 2018-07-20 |
| 1245739895 | Carlee B. Genung | Physician Assistant | 1760 Reston Parkway Suite 306, Reston, VA 20190 | 2018-02-09 |
| 1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
| 1245778992 | Sarah Christine Bernstein | Occupational Therapist | 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 | 2017-02-02 |
| 1023495298 | Phillip Nguyen | Dentist | 1800 Town Center Dr Ste 116, Reston, VA 20190 | 2015-04-27 |
| Find all providers in zip 20190 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528310257 | Carolyn Michelle Rosa | Nurse Practitioner | 1830 Town Center Drive, Suite # 205, Reston Town Center Pediatrics, Reston, VA 20190 | 2012-10-04 |
| 1821422866 | Katherine Major Mchugh | Nurse Practitioner | 1830 Town Center Drive, Suite #205, Reston, VA 20190 | 2013-08-27 |
| 1104049584 | Nancy A Darmory | Nurse Practitioner | 1830 Town Center Dr, Suite # 205, Reston, VA 20190-3292 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820010 | Grace Yi | Nurse Practitioner | 6737 Stone Maple Ter, Centreville, VA 20121-5750 | 2020-10-29 |
| 1407455660 | Peds First Healthcare LLC | Nurse Practitioner | 7419 Maclachlan Dr, Chesterfield, VA 23838-5345 | 2020-10-20 |
| 1669097978 | Madison Smith | Nurse Practitioner | 1220 Wythe St Apt 258, Alexandria, VA 22314-2279 | 2020-06-11 |
| 1013542349 | Juliet Brown | Nurse Practitioner | 5249 Duke St Ste 303, Alexandria, VA 22304-2907 | 2020-03-06 |
| 1285268441 | Marlene Mayweathers | Nurse Practitioner | 224d Cornwall St Nw Ste 104, Leesburg, VA 20176-2700 | 2020-02-26 |
| 1972143972 | Katelyn Hinderland | Nurse Practitioner | 500 Discovery Dr Ste 302, Chesapeake, VA 23320-3871 | 2020-01-08 |
| 1760030118 | Meghan Elizabeth Hoskins | Nurse Practitioner | 2035 Waterside Rd # 105, Prince George, VA 23875-1265 | 2019-08-29 |
| 1679049092 | Kellie Anne Archer | Nurse Practitioner | 7605 Forest Ave Ste 102, Henrico, VA 23229-4936 | 2018-10-24 |
| 1811471139 | Jessica Tabor Cline | Nurse Practitioner | 900a Rio East Ct, Charlottesville, VA 22901-8040 | 2018-09-21 |
| 1306329222 | Laura Elizabeth Grove | Nurse Practitioner | 1002 Amherst St Ste C, Winchester, VA 22601-3323 | 2018-09-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. NICOLE S. GOLDBERG.
| 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.