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

Active since April 13, 2007
1830 TOWN CENTER DR, SUITE # 205, RESTON, VA 20190(703) 435-3636(703) 435-9145 Get Directions Write a Review

NPPES record last updated: May 20, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Nicole S. Goldberg Cpnp NPPES

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

MS. NICOLE S. GOLDBERG CPNP (NPI 1659595171) is an individual pediatrics provider in Reston, Virginia, licensed in Virginia (0024165394) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1659595171
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. NICOLE S. GOLDBERGCredential: CPNP
Location Address1830 TOWN CENTER DR, SUITE # 205Reston, VA 20190-3292
Mailing Address1830 Town Center Dr, Suite # 205Reston, VA 20190-3292 · (703) 435-3636 · Fax (703) 435-9145
Phone(703) 435-3636
Fax(703) 435-9145
Sole ProprietorNo
Enumeration DateApril 13, 2007
Last NPPES UpdateMay 20, 2014
✔ NPI 1659595171 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 VA · 0024165394
1830 TOWN CENTER DR, Reston, VA 20190
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Other Names 1

Former Name (1)Nicole S. Southard

Other Identifiers 1

Medicaid7793588VA

Other Providers at the Same Location NPPES 20

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

SAI HEALTHCARE INC
Family Medicine
1830 TOWN CENTER DR, STE 303
RESTON, VA 20190
Fairfax County (703) 435-0700
HEALTHY HEART SLEEP CENTER, LLC
Clinical Medical Laboratory
1830 TOWN CENTER DR, SUITE 405
RESTON, VA 20190
Fairfax County (703) 481-3165
MS. NANCY A DARMORY CPNP
Nurse Practitioner (Pediatrics)
1830 TOWN CENTER DR, SUITE # 205
RESTON, VA 20190
Fairfax County (703) 435-3636
DR. ALANA KATHRYN LEWIS MB, BCH, BAO
Pediatrics
1830 TOWN CENTER DR, UNIT 205
RESTON, VA 20190
Fairfax County (703) 435-3636
DR. DAVID KIMKWONG CHOW M.D.
Ophthalmology
1830 TOWN CENTER DR, 210
RESTON, VA 20190
Fairfax County (703) 478-3000
DR. SHERRI L FRANKLIN M.D.
Obstetrics & Gynecology
1830 TOWN CENTER DR, SUITE 207
RESTON, VA 20190
Fairfax County (703) 437-0001
AISHAH CAROL HASSAN M.D.
Voluntary or Charitable
1830 TOWN CENTER DR
RESTON, VA 20190
Fairfax County (999) 999-9999
DR. SUZANNE M. POWERS M.D.
Pediatrics
1830 TOWN CENTER DR, SUITE # 205
RESTON, VA 20190
Fairfax County (703) 435-3636

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 Nicole Goldberg's NPI number?

The NPI number for Nicole Goldberg is 1659595171. It was assigned to this individual provider in the NPPES registry on April 13, 2007. The provider is also known as Nicole S. Southard.

Where is Nicole Goldberg located?

Nicole Goldberg practices at 1830 Town Center Dr Suite # 205, Reston, VA 20190. The listed phone number is (703) 435-3636.

What is Nicole Goldberg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Nicole Goldberg was last updated on May 20, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.