Individual provider Active NPI

Danielle Rae Gooding, NP-C

  • Family Nurse Practitioner
  • Hillsdale, MI
National Provider Identifier
1124434691
Registry record updated Jul 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704264383 Issued in MI
Practice address
3271 W Carleton Rd
Hillsdale, MI 49242-9458
Phone
(517) 437-4047
NPI assigned
Jul 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704264383 MI Primary

Addresses

Primary practice location

3271 W Carleton Rd
Hillsdale, MI 49242-9458

Mailing address

3271 W Carleton Rd
Hillsdale, MI 49242-9458
Phone (517) 437-4047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140805000448 MI Practitioner - Nurse Practitioner 6103043872 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704264383MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wa Foote Memorial Hospital, Inc CurrentSince Jun 1, 2015 Accepting new patients
Henry Ford Pathology Current Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Jun 1, 2015 Accepting new patients
Advanced Veins and Vascular Management PLC Past Accepting new patients

Locations

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

8958 M 50
Onsted, MI 49265
Phone (517) 205-4424

7845 Spring Arbor Rd
Spring Arbor, MI 49283
Phone (517) 205-2580

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIBIBD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1404604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404604800000",
    "number": "1124434691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3271 W CARLETON RD",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492429458",
            "telephone_number": "517-437-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3271 W CARLETON RD",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492429458",
            "telephone_number": "517-437-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODING",
        "first_name": "DANIELLE",
        "middle_name": "RAE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-06",
        "last_updated": "2014-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704264383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsdale, MI

Sources for this page

Verify at the official NPI Registry.