Individual provider

JAMIE BETH GOLDBERG, ACNP/PMHNP

CMS NPPES lists JAMIE BETH GOLDBERG as an individual provider record with NPI 1255875811. The current record reports a primary practice location in ANACONDA, MT and primary taxonomy code 363LP0808X.

NPI 1255875811Record type Type 1Primary taxonomy 363LP0808X

Type 1 NPIs identify individual healthcare providers. How to read this profile

01

Practice locations

  1. Primary practice location
    1083 W PARK AVEANACONDA, MT 597112000

Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.

02

Taxonomy information

  • 363LA2100XAdditional reported taxonomy
  • 363LP0808XPrimary reported taxonomy

Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.

03

NPI record information

NPI status
Enumerated in NPPES
Enumeration date
December 15, 2016

An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.