Brooke Goodman, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

929817 Issued in TX

Practice address

26229 N Cranes Mill Rd
Canyon Lake, TX 78133-1957

Phone

(830) 730-4158

Fax

(830) 935-2837

NPI assigned

Feb 28, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1053118604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26229 N CRANES MILL RD",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781331957",
            "telephone_number": "830-730-4158",
            "fax_number": "830-935-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26229 N CRANES MILL RD",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781331957",
            "telephone_number": "830-730-4158",
            "fax_number": "830-935-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "BROOKE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "929817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deana Garcia, AGACNP
• Kristi D Garza
• Betsy Gholson, LPC
• Clinton R Gholson, LPC
• Sabrina Lynn Gonzalez
• Howard Ivan Haecker, D.D.S.
• Alyssa Hanson, N.P.
• Jeffrey Quentin Harper, DC
• Monika Liesbeth Heck
• Elizabeth Yong Henderson, LMSW, LCDC

• Registered Nurse in Canyon Lake, TX
• Providers in Canyon Lake, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.