Nicole M Goehre, OTR

Primary specialty

SpecialistTaxonomy code 174400000X

License

5323-26 Issued in WI

Practice address

316 N Milwaukee St
Suite 208
Milwaukee, WI 53202-5885

Phone

(414) 615-0665

NPI assigned

May 1, 2013

Last updated

May 1, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in VA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

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  VA

  Medicare reassignment NPD
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  • NPI 1881458354
  NPD

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1063857365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 COLUMBIA AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531866336",
            "telephone_number": "757-469-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 N MILWAUKEE ST",
            "address_2": "SUITE 208",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532025885",
            "telephone_number": "414-615-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEHRE",
        "first_name": "NICOLE",
        "middle_name": "M",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WI",
            "license": "5323-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarvon D. Godley, DPT
• Stacey Alece Godley, M.D.
• Gods Worship & Praise Temple, Inc
• Samantha J Goedde, NP
• Amanda Sarah Goeden
• Andrew Goelz, M.D.
• Jessica F Goelz, APNP
• Kate Goelz, PA-C
• Danielle M Goeman
• Mackenzie Tara Goertz, PHD

• Specialist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.