TATIANA A. GOCLOWSKI (NPI# 1831639392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831639392 |
| Entity Type | Individual |
| Full Name | TATIANA A. GOCLOWSKI |
| Credential | MSN, FNP-BC |
| Practice Address |
187 Beacon Rd Bethany CT 06524-3054 |
| Mailing Address |
100 Wason Ave Ste 120 Springfield MA 01107-1179 |
| Practice Telephone | 4133882892 |
| Mailing Telephone | 4132412100 |
| Mailing Fax Number | 4137351986 |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2019-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
12.007735 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN231763 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
187 BEACON RD |
| City | BETHANY |
| State | CT |
| Zip Code | 06524-3054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194378323 | Brittany Varano | Dental Hygienist | 55 Sargent Dr., Bethany, CT 06524 | 2019-07-17 |
| 1366952384 | Cybil Kathleen Ryan | Social Worker | 649 Amity Rd # Uni103, Bethany, CT 06524 | 2017-10-04 |
| 1952542409 | Deborah Lynn Ellsworth | Social Worker | 649 Amity Road, Bethany, CT 06524 | 2009-03-12 |
| 1730218181 | Boaz Itshaky | Acupuncturist | 286 Beacon Rd, Bethany, CT 06524 | 2007-03-03 |
| 1881750131 | Michael Bruce Enson | Social Worker | 9 Munson Road, 2nd Floor, Bethany, CT 06524 | 2006-12-29 |
| 1043327232 | Amity Dental Care Inc | Dentist | 696 Amity Rd Ste A3, Bethany, CT 06524-3006 | 2006-08-24 |
| 1770805301 | Annette Maria Snow | Dietitian, Registered | 54 Lacey Rd, Bethany, CT 06524-3021 | 2010-02-24 |
| 1679561120 | The Bethany Volunteer Firemens Association Incorporated | Ambulance | 765 Amity Rd, Bethany, CT 06524-3028 | 2005-10-10 |
| 1538458310 | Pediatric Parenting, LLC | Nurse Practitioner | 435 Amity Rd, Bethany, CT 06524-3038 | 2011-04-01 |
| 1356798573 | Infinite Well LLC | Clinic/Center | 286 Beacon Rd, Bethany, CT 06524-3080 | 2016-05-17 |
| Find all providers in zip 06524 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245762020 | Braden Peterson | Nurse Practitioner | 6814 Nw 23rd St, Bethany, OK 73008-5217 | 2017-03-30 |
| 1720301575 | Valerie Ann Bell | Nurse Practitioner | 438 Ash St, Bethany, PA 18431-4015 | 2010-03-08 |
| 1699948646 | Saints Medical Group, LLC | Nurse Practitioner | 7101 Nw 23rd St, Bethany, OK 73008-5159 | 2008-04-10 |
| 1295353506 | Adele Burt | Nurse Practitioner | 6800 Nw 39th Expy, Bethany, OK 73008-2513 | 2020-07-13 |
| 1861026254 | David Mathew | Nurse Practitioner | 6800 Nw 39th Expy, Bethany, OK 73008-2513 | 2020-02-25 |
| 1013570035 | Amaza Tripp | Nurse Practitioner | 7530 Nw 23rd St, Bethany, OK 73008-4921 | 2019-04-16 |
| 1649797044 | Zhanjuan Wang | Nurse Practitioner | 6820 Nw 23rd St, Bethany, OK 73008-5217 | 2017-08-25 |
| 1851823587 | Heather Dawn Foster | Nurse Practitioner | 7530 Nw 23rd St, Bethany, OK 73008 | 2017-03-31 |
| 1053856641 | Jessica Wynn Harris | Nurse Practitioner | 6800 Nw 39th Expy, Bethany, OK 73008-2513 | 2017-01-05 |
| 1811432792 | Nafeesah Thompson | Nurse Practitioner | 6800 Nw 39th Expy, Bethany, OK 73008-2513 | 2016-12-30 |
| Find all providers in BETHANY | ||||
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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.