Active NPI
Janet Marie Goodson, APRN
- Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11005574
- Practice address
- 1 Shircliff Way
Jacksonville, FL 32204-4748 - Phone
- (904) 308-4100
- NPI assigned
- Jan 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | RN9380130 | FL | |
| Nurse Practitioner | 363L00000X | APRN11005574 | FL | Primary |
Addresses
Primary practice location
1 Shircliff Way
Jacksonville, FL 32204-4748
Mailing address
391 E Teague Bay Dr
St Augustine, FL 32092-3099
Phone (305) 801-2483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1824 King St
Suite 300
Jacksonville, FL 32204-4736
Phone (904) 388-1820
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9380130 | FL | MD | Critical Care Medicine Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Physicians of Florida IV, LLC | Nurse Practitioner | Current | Accepting new patients |
| Sound Physicians of Florida IV, LLC | Current | Accepting new patients | |
| St Vincents Ambulatory Care Inc | Current | Accepting new patients | |
| Cogent Healthcare of Jacksonville, LLC | Current | Accepting new patients | |
| Cogent Healthcare of Jacksonville, LLC | Nurse Practitioner | Current | Accepting new patients |
| Hni Medical Services of Florida, LLC | Nurse Practitioner | Current | Accepting new patients |
| St Vincents Ambulatory Care Inc | Current | Accepting new patients |
Locations
900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426
13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000
4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
1824 King St
Ste 300
Jacksonville, FL 32204
Phone (904) 381-9393
4205 Belfort Rd
Ste 2069
Jacksonville, FL 32216
Phone (904) 296-0278
15255 Max Leggett Pkwy
Jacksonville, FL 32218
Phone (904) 383-1000
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
1658 St Vincents Way
Ste 300
Middleburg, FL 32068
Phone (904) 276-5100
1658 St Vincents Way
Ste 310
Middleburg, FL 32068
Phone (904) 308-2006
4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005
1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507
3100 E Fletcher Ave
#C
Tampa, FL 33613
Interoperability endpoints
- janet.goodson.1@8967.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Neurological Surgery Physician
- Jacksonville, FL
- NPI 1417987124
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1124252333
Nurse Practitioner
-
- Internal Medicine Physician
- Palm Coast, FL
- NPI 1740633635
Nurse Practitioner
-
- Internal Medicine Physician
- Port Orange, FL
- NPI 1861150625
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1679048284
Nurse Practitioner
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1235712415
-
- Durable Medical Equipment & Medical Supplies
- Jacksonville, FL
- NPI 1679226690
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1396926747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615507200000",
"number": "1114557162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "391 E TEAGUE BAY DR",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320923099",
"telephone_number": "305-801-2483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SHIRCLIFF WAY",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044748",
"telephone_number": "904-308-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODSON",
"first_name": "JANET",
"middle_name": "MARIE",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-17",
"last_updated": "2021-03-12",
"certification_date": "2021-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "FL",
"license": "RN9380130",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11005574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.