Christine Margaret Goedvolk, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

342492 Issued in NY

Practice address

8207 Main St Ste 5
Williamsville, NY 14221-6060

Phone

(716) 632-2000

Fax

(713) 632-2162

NPI assigned

Mar 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: christine.goedvolk.1@30520.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wellnow Urgent Care, PC

  • Urgent Care Clinic/Center
  • Liverpool, NY
  • NPI 1669825162
  Medicare reassignment NPD

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1013476068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8207 MAIN ST STE 5",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216060",
            "telephone_number": "716-632-2000",
            "fax_number": "713-632-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8207 MAIN ST STE 5",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216060",
            "telephone_number": "716-632-2000",
            "fax_number": "713-632-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEDVOLK",
        "first_name": "CHRISTINE",
        "middle_name": "MARGARET",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgoedvolk@ubotolaryngologymedentdirect.com",
            "affiliation": "N",
            "endpointDescription": "medent direct",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "8207 Main St Ste 5",
            "city": "Williamsville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142216060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Heather Glose, PA-C
• Audrey Glover, FNP-BC
• Robert F Glover, MD
• Ann Glowacki, LPN
• GNG Medical Supplies LLC
• Rosemary Elizabeth Goetz, PTA
• Jessica Goff
• Christina Golab
• Kathleen M Goldblatt, LCSWR
• Jenna Lindsay Goldsmith, NP

• Family Nurse Practitioner in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.