Kenneth Wayne Goff, APN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

A01752 Issued in AR

Practice address

901 Jones Rd
Springdale, AR 72762-0875

Phone

(479) 306-4957

Fax

(479) 750-6622

NPI assigned

Jul 18, 2006

Last updated

Jun 18, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1114946449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 JONES RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620875",
            "telephone_number": "479-306-4957",
            "fax_number": "479-750-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 JONES RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620875",
            "telephone_number": "479-306-4957",
            "fax_number": "479-750-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOFF",
        "first_name": "KENNETH",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AR",
            "license": "A01752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Dawn Givens, PLMSW
• Amanda Lee Glass, MHPP
• Amelia J Gleber, APRN
• Jane Mae Glenn
• Alyssa Goddu
• Kaylee Goings, RDN
• Joanne A Goluch, P.T.
• Alberto Gomez, MD
• Julie Renee Gonring, MHPP
• Roxan Gonzales

• Acute Care Nurse Practitioner in Springdale, AR
• Providers in Springdale, AR by specialty
• Acute Care Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.