Kathleen Corcoran Goettel, RN, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP109132 Issued in TX

Practice address

8335 Walnut Hill LN Ste 220
Dallas, TX 75231-4204

Phone

(214) 696-0222

NPI assigned

May 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kathleen.goettel@hhm.eclinicaldirectplus.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.

• Healing Hands Ministries Inc.

  • Federally Qualified Health Center (FQHC)
  • Dallas, TX
  • NPI 1306287529
  NPD (past)
• Healing Hands Ministries, Inc

  • Federally Qualified Health Center (FQHC)
  • Dallas, TX
  • NPI 1225517352
  NPD (past)
• Woodhill Pediatric Associates

  • Pediatrics Physician
  • Dallas, TX
  • NPI 1851342752
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1063622017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8335 WALNUT HILL LN STE 220",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314204",
            "telephone_number": "214-696-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8335 WALNUT HILL LN STE 220",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314204",
            "telephone_number": "214-696-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETTEL",
        "first_name": "KATHLEEN",
        "middle_name": "CORCORAN",
        "name_prefix": "Mrs.",
        "credential": "RN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2022-01-13",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "655379",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP109132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Dallas",
            "affiliation": "N",
            "address_1": "8335 Walnut Hill Ln Ste 220",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752314204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Dallas",
            "affiliation": "N",
            "address_1": "8335 Walnut Hill Ln Ste 220",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752314204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nkechi Juliet Godwins-Divine, APRN-CNP
• Anish Goel
• Pooja Goel, MD
• Laraine Lacey Goessler, P.A.-C
• William Goette
• Chris E. Goetz, LPC
• Ira Allene Goetz, ACNS-BC
• Alexander Wilson Goff
• Astin Goff
• Gary Edward Goff, M.D.

• Pediatric Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.