Active NPI
Dana Humes Goff, A.P.N., C.N.M.
- Advanced Practice Midwife
- Peoria, IL
National Provider Identifier
1043205644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 209001654
- Practice address
- 900 Main St Ste 660
Peoria, IL 61602-1060 - Phone
- (309) 687-4230
- Fax
- (309) 687-7704
- NPI assigned
- Sep 20, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 209001654 | IL | Primary |
Addresses
Primary practice location
900 Main St Ste 660
Peoria, IL 61602-1060
Mailing address
900 Main St Ste 660
Peoria, IL 61602-1060
Phone (309) 687-4230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6708 N Knoxville Ave
Peoria, IL 61614-2862
Phone (309) 692-6838
Hospital & facility affiliations
- Northwestern Medicine Central Dupage Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209001654 | IL | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teverbaugh Croland & Mueller OB/GYN & Associates, S.C. | Current | Accepting new patients |
Locations
6708 N Knoxville Ave
Ste 1
Peoria, IL 61614
Phone (309) 691-6868
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Peoria, IL
- NPI 1528368875
-
- Obstetrics & Gynecology Physician
- Peoria, IL
- NPI 1720031602
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316044800000",
"number": "1043205644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 MAIN ST STE 660",
"city": "PEORIA",
"state": "IL",
"postal_code": "616021060",
"telephone_number": "309-687-4230",
"fax_number": "309-687-7704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 MAIN ST STE 660",
"city": "PEORIA",
"state": "IL",
"postal_code": "616021060",
"telephone_number": "309-687-4230",
"fax_number": "309-687-7704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOFF",
"first_name": "DANA",
"middle_name": "HUMES",
"name_prefix": "Mrs.",
"credential": "A.P.N., C.N.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-20",
"last_updated": "2011-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "IL",
"license": "209001654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.
- 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.