Individual provider Active NPI

Jill Marie Goodnough, RN

  • School Registered Nurse
  • Tempe, AZ
National Provider Identifier
1063122257
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
227722 Issued in AZ
Practice address
6000 S Lakeshore Dr
Tempe, AZ 85283-3049
Phone
(480) 730-8300
Fax
(480) 730-7665
NPI assigned
Nov 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 227722 AZ Primary

Addresses

Primary practice location

6000 S Lakeshore Dr
Tempe, AZ 85283-3049

Mailing address

6000 S Lakeshore Dr
Tempe, AZ 85283-3049
Phone (480) 730-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
227722AZMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1063122257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 S LAKESHORE DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833049",
            "telephone_number": "480-730-8300",
            "fax_number": "480-730-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 S LAKESHORE DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833049",
            "telephone_number": "480-730-8300",
            "fax_number": "480-730-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODNOUGH",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "227722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.