Good Clinic MN PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

GOOD CLINIC MN PLLC

Doing business as

The Good Clinic

Practice address

4712 Excelsior Blvd
St Louis Park, MN 55416-3008

Phone

(844) 383-8689

NPI assigned

Sep 30, 2020

Last updated

Jan 14, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kevin Lee Smith, DNPNPI 1679531024

Title

Chief Nurse Practitioner Officer

Phone

(763) 639-5327

Specialties & licenses 1

Addresses

Other names 1

• The Good Clinic Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Lee Smith, DNP

  • Family Nurse Practitioner
  • Minneapolis, MN
  • NPI 1679531024
  Authorized official Same address or phone
• Brianna Ashley Steffen, C-NP

  • Family Nurse Practitioner
  • Saint Paul, MN
  • NPI 1891303004
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1003423252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 HIGHWAY 100 S STE 432",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4712 EXCELSIOR BLVD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554163008",
            "telephone_number": "844-383-8689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "845 Vikings Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Eagan",
            "state": "MN",
            "postal_code": "551211002",
            "country_code": "US",
            "telephone_number": "651-650-0500",
            "fax_number": "651-650-0501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7881 Main St N Ste 538",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553697082",
            "country_code": "US",
            "telephone_number": "651-650-0400",
            "fax_number": "651-650-0401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "246 Snelling Ave S Ste 1",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551052019",
            "country_code": "US",
            "telephone_number": "651-650-0300",
            "fax_number": "651-650-0301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "307 1ST AVE NE",
            "address_purpose": "LOCATION",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554135001",
            "country_code": "US",
            "telephone_number": "763-639-5327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12900 Technology Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "Eden Prairie",
            "state": "MN",
            "postal_code": "553442638",
            "country_code": "US",
            "telephone_number": "844-383-8689 x704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOOD CLINIC MN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CHIEF NURSE PRACTITIONER OFFICER",
        "authorized_official_telephone_number": "763-639-5327",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Good Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Good Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ross Golla, PA
• Lauren Gonyea
• Maria Teresa Gonzalez Bolanos, M.D.
• Annmarie Gonzalez, OTR
• Carrie Gonzalez, MPH, RD, LD
• Good Samaritan Care Center LLC
• Leah Simone Good, NP
• Samuel Thomas Goracke, CNP
• Carolyn M Gordon
• Natasha Rondano Gorecki

• Primary Care Clinic/Center in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Primary Care Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.