KRISTIN GOEBEL
NPI 1265316897
Nurse Practitioner - Pediatrics in Saint Augustine, FL
Active since August 05, 2025
About Kristin Goebel NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTIN GOEBEL (NPI 1265316897) is an individual pediatrics provider in Saint Augustine, Florida, licensed in Florida (APRN11041426) and active in the NPI registry since August 2025.
NPPES Registry Identity
NPI1265316897
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKRISTIN GOEBEL
Location Address101 WHITEHALL DR STE 108Saint Augustine, FL 32086-5268
Mailing Address101 Whitehall Dr Ste 108Saint Augustine, FL 32086-5268
Phone(904) 615-1794
Sole ProprietorNo
Enumeration DateAugust 5, 2025
Last NPPES UpdateAugust 8, 2025
NPPES CertifiedAugust 8, 2025
✔ NPI 1265316897 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in FL · APRN11041426
101 WHITEHALL DR STE 108, Saint Augustine, FL 32086
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Pediatrics
101 WHITEHALL DR STE 108
SAINT AUGUSTINE, FL 32086
SAINT AUGUSTINE, FL 32086
Nurse Practitioner (Pediatrics)
101 WHITEHALL DR STE 108
ST AUGUSTINE, FL 32086
ST AUGUSTINE, FL 32086
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265316897, enumerated as an "individual" on August 05, 2025.
The provider is located at 101 WHITEHALL DR STE 108 SAINT AUGUSTINE, FL 32086 and the phone number is (904) 615-1794.
Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.
