Individual provider Active NPI

Rebecca Anne Goff, F.N.P.

  • Nurse Practitioner
  • Columbia, MO
National Provider Identifier
1114421591
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2018027758 Issued in MO
Practice address
1705 E Broadway Ste 280
Columbia, MO 65201-7185
Phone
(573) 815-7119
Fax
(573) 815-7119
NPI assigned
Mar 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1999136900 MO
Family Nurse Practitioner 363LF0000X 1999136900 MO
Nurse Practitioner 363L00000X 2018027758 MO Primary

Addresses

Primary practice location

1705 E Broadway Ste 280
Columbia, MO 65201-7185

Mailing address

1705 E Broadway Ste 280
Columbia, MO 65201-7185
Phone (573) 815-7119

Other practice location 1

3514 Woods Edge Rd
Columbia, MO 65203-6600
Phone (573) 815-7119

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2018027758MOMDNurse Practitioner
1999136900MOMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: rebeccagoff@mhccaremail.com

NPI Registry JSON

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1114421591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 E BROADWAY STE 280",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652017185",
            "telephone_number": "573-815-7119",
            "fax_number": "573-815-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 E BROADWAY STE 280",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652017185",
            "telephone_number": "573-815-7119",
            "fax_number": "573-815-7119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3514 Woods Edge Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652036600",
            "country_code": "US",
            "telephone_number": "573-815-7119",
            "fax_number": "573-815-7116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOFF",
        "first_name": "REBECCA",
        "middle_name": "ANNE",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "1999136900",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "1999136900",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2018027758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.