Active NPI
Stephanie D Goodman, CNP
- Nurse Practitioner
- Columbus, OH
National Provider Identifier
1104016518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 301784
- Practice address
- 285 E State St
Suite 150
Columbus, OH 43215-4354 - Phone
- (614) 460-6100
- NPI assigned
- Aug 1, 2007
- Last updated
- Sep 24, 2008
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 301784 | OH | Primary |
Addresses
Primary practice location
285 E State St
Suite 150
Columbus, OH 43215-4354
Mailing address
PO Box 182255
Columbus, OH 43218-2255
Phone (614) 430-5712
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 301784 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hypertension Nephrology Consultants Inc | Current | Accepting new patients |
Locations
285 E State St
Ste 150
Columbus, OH 43215
500 E Main St
Ste 240
Columbus, OH 43215
Phone (614) 566-8570
Interoperability endpoints
- sgoodman21337@direct.acumenmd.com
Organizations & group practices 1
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.
-
- Nephrology Physician
- Columbus, OH
- NPI 1477501591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222214400000",
"number": "1104016518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 182255",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432182255",
"telephone_number": "614-430-5712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 E STATE ST",
"address_2": "SUITE 150",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432154354",
"telephone_number": "614-460-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "STEPHANIE",
"middle_name": "D",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-01",
"last_updated": "2008-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "301784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.