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MRS. CHRISTINE E GOUDREAU PTA
NPI 1629361415
Registered Nurse in Port Jervis, NY

Active since May 26, 2011
150 PIKE ST, PORT JERVIS, NY 12771(845) 800-5974 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mrs. Christine E Goudreau Pta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CHRISTINE E GOUDREAU PTA (NPI 1629361415) is an individual registered nurse in Port Jervis, New York, licensed in New York (645798-01) and active in the NPI registry since May 2011. She maintains a secondary practice location in Suffern.

NPPES Registry Identity

NPI1629361415
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameMRS. CHRISTINE E GOUDREAUCredential: PTA
Location Address150 PIKE STPort Jervis, NY 12771-1867
Mailing Address15 Suffern Pl Ste ASuffern, NY 10901-5566 · (845) 357-4500
Phone(845) 800-5974
Sole ProprietorYes
Enumeration DateMay 26, 2011
Last NPPES UpdateNovember 24, 2025
NPPES CertifiedNovember 24, 2025
✔ NPI 1629361415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in NY · 645798-01
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Also ListedPhysical Therapy AssistantTaxonomy 225200000X · License 003470-1 (NY)
150 PIKE ST, Port Jervis, NY 12771
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Secondary Practice Location 1

Location 115 Suffern Pl Ste ASuffern, NY 10901-5566 · Phone (845) 357-4500

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HAYRI CABUK M.D.
Internal Medicine
150 PIKE ST
PORT JERVIS, NY 12771
Orange County (845) 856-5396
CAROLINE ELLEN VAN PATTEN M.S., CCC-SLP
Speech-Language Pathologist
150 PIKE ST
PORT JERVIS, NY 12771
Orange County (845) 858-3100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christine Goudreau's NPI number?

The NPI number for Christine Goudreau is 1629361415. It was assigned to this individual provider in the NPPES registry on May 26, 2011.

Where is Christine Goudreau located?

Christine Goudreau practices at 150 Pike St, Port Jervis, NY 12771. The listed phone number is (845) 800-5974.

What is Christine Goudreau's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Christine Goudreau was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.