Active NPI
Gretchen L Reinfeldt-Goodell, NP
- Women's Health Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1174544076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- AP1984
- Practice address
- 15255 N 40TH St
Suite 105
Phoenix, AZ 85032-4636 - Phone
- (602) 867-2690
- Fax
- (602) 404-1904
- NPI assigned
- Jul 23, 2006
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | AP1984 | AZ | Primary |
Addresses
Primary practice location
15255 N 40TH St
Suite 105
Phoenix, AZ 85032-4636
Mailing address
15255 N 40TH St
Suite105
Phoenix, AZ 85032-4636
Phone (602) 867-2690
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN092930 | Other | AZ | AZ LICENSE NUMBER |
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)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP1984 | AZ | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1174544076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15255 N 40TH ST",
"address_2": "SUITE105",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850324636",
"telephone_number": "602-867-2690",
"fax_number": "602-404-1904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15255 N 40TH ST",
"address_2": "SUITE 105",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850324636",
"telephone_number": "602-867-2690",
"fax_number": "602-404-1904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REINFELDT-GOODELL",
"first_name": "GRETCHEN",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-23",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "AZ",
"license": "AP1984",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ LICENSE NUMBER",
"identifier": "RN092930",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.