MS. NICOLE S. GOLDBERG CPNP
NPI 1659595171
Nurse Practitioner - Pediatrics in Reston, VA

NPI Status: Active since April 13, 2007

Contact Information

1830 TOWN CENTER DR
SUITE # 205
RESTON, VA
ZIP 20190
Phone: (703) 435-3636
Fax: (703) 435-9145

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  • Individual
  • Female
  • Nurse Practitioner
  • Pediatrics

About NICOLE GOLDBERG

This page provides the complete NPI Profile along with additional information for Nicole Goldberg, a provider established in Reston, Virginia with a medical specialization in Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1659595171 assigned on April 2007. The practitioner's primary taxonomy code is 363LP0200X with license number 0024165394 (VA). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1659595171
Provider Name
MS. NICOLE S. GOLDBERG CPNP
Other Name
NICOLE S. SOUTHARD
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
1830 TOWN CENTER DR SUITE # 205 RESTON, VA 20190
Location Phone
(703) 435-3636
Location Fax
(703) 435-9145
Mailing Address
1830 TOWN CENTER DR SUITE # 205 RESTON, VA 20190
Mailing Phone
(703) 435-3636
Mailing Fax
(703) 435-9145
Is Sole Proprietor?
No
Enumeration Date
04-13-2007
Last Update Date
05-20-2014
Code Navigator

A nurse practitioner (NP) like Nicole Goldberg is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Pediatrics

Taxonomy Code
363LP0200X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
0024165394
License State
VA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
7793588MEDICAID (05)VA 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1659595171, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
9
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 5 → 10 → 1 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 0 + 9 + 1 + 0 + 9 + 1 + 0 + 1 + 1 + 4 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1659595171.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Allergy & Immunology (Allergy)
1830 TOWN CENTER DR, SUITE #206
RESTON, VA 20190
Pediatrics
1830 TOWN CENTER DR, SUITE # 205
RESTON, VA 20190
Pediatrics
1830 TOWN CENTER DR, SUITE # 205
RESTON, VA 20190
Pediatrics
1830 TOWN CENTER DR, SUITE # 205
RESTON, VA 20190
Pediatrics
1830 TOWN CENTER DR, SUITE # 205
RESTON, VA 20190
Registered Nurse
1830 TOWN CENTER DR, SUITE 305
RESTON, VA 20190
Specialist
1830 TOWN CENTER DR, SUITE #303
RESTON, VA 20190
Internal Medicine (Rheumatology)
1830 TOWN CENTER DR, SUITE 308
RESTON, VA 20190
Family Medicine
1830 TOWN CENTER DR, STE 303
RESTON, VA 20190
Ophthalmology
1830 TOWN CENTER DR, 307
RESTON, VA 20190
Nurse Practitioner (Family)
1830 TOWN CENTER DR, SUITE 303
RESTON, VA 20190
Ophthalmology
1830 TOWN CENTER DR, 210
RESTON, VA 20190
Nurse Practitioner (Pediatrics)
1830 TOWN CENTER DR, SUITE # 205
RESTON, VA 20190
Internal Medicine
1830 TOWN CENTER DR, SUITE 309
RESTON, VA 20190
Ophthalmology
1830 TOWN CENTER DR, SUITE 210
RESTON, VA 20190
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1830 TOWN CENTER DR, SUITE 209
RESTON, VA 20190
Specialist
1830 TOWN CENTER DR, SUITE #303
RESTON, VA 20190
Internal Medicine (Rheumatology)
1830 TOWN CENTER DR, SUITE 308
RESTON, VA 20190
Clinical Medical Laboratory
1830 TOWN CENTER DR, SUITE 405
RESTON, VA 20190
Surgery (Vascular Surgery)
1830 TOWN CENTER DR, SUITE 420
RESTON, VA 20190

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659595171, enumerated as an "individual" on April 13, 2007.

The provider is located at 1830 TOWN CENTER DR SUITE # 205 RESTON, VA 20190 and the phone number is (703) 435-3636.

Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.