DR. KRISTEN-KAYE GOULBOURNE (NPI# 1841602471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841602471 |
| Entity Type | Individual |
| Full Name | DR. KRISTEN-KAYE GOULBOURNE |
| Practice Address |
811 Redgate Ave Norfolk VA 23507-1515 |
| Practice Telephone | 7576687874 |
| Practice Fax Number | 7576688658 |
| Mailing Telephone | 7576687874 |
| Mailing Fax Number | 7576688658 |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2019-03-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
0101262279 | VA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | TRN20212 | FL | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | COMMONWEALTH OF VIRGINIA | 0101262279 | 01 |
| Street Address |
811 REDGATE AVE |
| City | NORFOLK |
| State | VA |
| Zip Code | 23507-1515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902079015 | Edward Alex Johnson | Pediatrics | 811 Redgate Ave, Norfolk, VA 23507-1515 | 2008-04-09 |
| 1285290106 | Linda L Maldonado | Family Medicine | 811 Redgate Ave, Norfolk, VA 23507-1515 | 2019-05-16 |
| 1699151290 | Jennifer Lindsey Adams | Physician Assistant | 811 Redgate Ave, Norfolk, VA 23507-1515 | 2015-08-05 |
| 1467830810 | Sarah Lyon Komline | Pediatrics | 811 Redgate Ave, Norfolk, VA 23507 | 2015-05-18 |
| 1477895050 | Rebecca Ashley Dorner | Anesthesiology | 811 Redgate Ave, Norfolk, VA 23507-1515 | 2013-03-21 |
| 1972823540 | Peter H Ma | Anesthesiology | 811 Redgate Ave, Norfolk, VA 23507-1515 | 2010-06-07 |
| 1275856916 | Mae Mcaliser Shaw | Physician Assistant | 811 Redgate Ave, Post Office Box 11049, Norfolk, VA 23507-1515 | 2010-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790306801 | Paolo Quentin Rigo | Student in an Organized Health Care Education/Training Program | Smith Rogers Hall, 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-04-29 |
| 1811526221 | Sean M Whitty | Student in an Organized Health Care Education/Training Program | Emergency Medicine Residency, Raleigh Building, St 304, 600 Gresham Dr, Norfolk, VA 23507 | 2020-04-07 |
| 1962030643 | Shekinah Joy Vaughn | Student in an Organized Health Care Education/Training Program | 385 Mowbray Arch Ste 203205, Norfolk, VA 23507 | 2020-03-30 |
| 1982231403 | Jaxon Vallely | Student in an Organized Health Care Education/Training Program | 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-03-25 |
| 1437714656 | Kanishk Deep Sharma | Student in an Organized Health Care Education/Training Program | 825 Fairfax Avenue Eastern Virginia Medical School Inte, Suite 445, Norfolk, VA 23507 | 2019-05-02 |
| 1619439460 | Dylan Woolum | Student in an Organized Health Care Education/Training Program | Raleigh Building, Suite 304, 600 Gresham Drive, Norfolk, VA 23507 | 2019-04-02 |
| 1477012623 | Jessie R Jones | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave Ste 513a, Norfolk, VA 23507 | 2019-03-18 |
| 1316416787 | Lindsey Sawyer | Genetic Counselor, MS | Childrens Hospital of The Kings Daughters, 601 Childrens Lane, Norfolk, VA 23507 | 2018-11-15 |
| 1881188159 | Patrick Michael Haar | Pharmacist | 601 Pembroke Avenue, Apt 104, Norfolk, VA 23507 | 2018-06-19 |
| 1316438377 | Monika Pajhal | Student in an Organized Health Care Education/Training Program | Eastern Virginia Medical School (internal Medicine), Internal Medicine, 825 Fairfax Ave, Suite 410, Norfolk, VA 23507 | 2018-05-25 |
| Find all providers in zip 23507 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184116048 | Caroline Sheehan | Pediatrics | 601 Childrens Ln Fl 4, Norfolk, VA 23507-1971 | 2018-06-05 |
| 1104212414 | Joshua Erickson | Pediatrics | 830 Kempsville Rd, Norfolk, VA 23502 | 2015-04-13 |
| 1881848042 | Bridget Killilea Cunningham | Pediatrics | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2008-11-13 |
| 1629075270 | Robert Dennis Mcartor | Pediatrics | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2005-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649679754 | Wayne E Hachey | Pediatrics | 11 Laurel Ct, Nellysford, VA 22958-9554 | 2014-08-14 |
| 1942644588 | Shajeer Noorudeen | Pediatrics | 1000 E Broad St # 5-104, Richmond, VA 23219-1930 | 2013-04-25 |
| 1437415833 | Oleksandr Mikhailovich Kudin | Pediatrics | 1506 Willow Lawn Dr Ste 205, Richmond, VA 23230-3418 | 2012-04-10 |
| 1598050239 | Valerie Atienza Navarrete | Pediatrics | 13509 Leith Ct, Chantilly, VA 20151 | 2011-06-10 |
| 1699065425 | Jing Fang | Pediatrics | Inova Children's Hospital Nicu, 3300 Gallows Rd, Falls Church, VA 22042 | 2011-04-13 |
| 1952691164 | Melissa Lindsey Macomber-estill | Pediatrics | 4320 Seminary Rd # 3000, Alexandria, VA 22304-1535 | 2011-04-10 |
| 1780914085 | Pediatrix Newborn Hearing Screen LLC | Pediatrics | 4991 Lake Brook Dr, Suite 300, Glen Allen, VA 23060-9290 | 2010-01-08 |
| 1538496807 | Vanaja Nandini Alexander | Pediatrics | 3708 5th St S, Arlington, VA 22204-1681 | 2009-11-06 |
| 1679734412 | Harsh Datta | Pediatrics | 1001 Sam Perry Blvd, 3rd Floor Neonatology Office, Fredericksburg, VA 22401 | 2008-06-24 |
| 1932385606 | Tetyana H Nesterenko | Pediatrics | 5980 Richmond Hwy Apt 1-214, Alexandria, VA 22303-2739 | 2008-01-12 |
| Find all providers with the same taxonomy | ||||
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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.