KIARA GOLDWAG NPI 1508470238

NPI Information

NPI: 1508470238
Provider Name: KIARA GOLDWAG
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
20 YORK ST
NEW HAVEN, CT
ZIP 06510
Phone: (203) 688-4242
Get Directions

Kiara Goldwag is a gerontology nurse practitioner in New Haven, CT with 4 years of experience. Kiara Goldwag NPI is 1508470238. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

20 YORK ST
NEW HAVEN, CT
ZIP 06510-220
Phone: (203) 688-4242

The NPI 1508470238 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/1/2020 and was last updated on 8/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	431848	NEW YORK	No
2	363LC0200X	Nurse Practitioner	Critical Care Medicine	9426	CONNECTICUT	No
3	363LG0600X	Nurse Practitioner	Gerontology	9426	CONNECTICUT	Yes
4	163WC0200X	Registered Nurse	Critical Care Medicine	311956	NEW YORK	No
5	163WC0200X	Registered Nurse	Critical Care Medicine	120728	CONNECTICUT	No
6	163WC0200X	Registered Nurse	Critical Care Medicine	800276	NEW YORK	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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