Individual provider Active NPI

Pauline Vevian Good, ARNP

  • Family Nurse Practitioner
  • Hollywood, FL
National Provider Identifier
1174672919
Registry record updated Apr 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN-2156712 Issued in FL
Practice address
3006 Josie Billieave
Hollywood, FL 33024
Phone
(954) 962-2009
Fax
(954) 986-0243
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2156712 FL
Family Nurse Practitioner 363LF0000X F348854-01 NY
Family Nurse Practitioner 363LF0000X 95020076 CA
Family Nurse Practitioner 363LF0000X RN-2156712 FL Primary

Addresses

Primary practice location

3006 Josie Billieave
Hollywood, FL 33024

Mailing address

1394 SW 159TH LN
Pembroke Pines, FL 33027-5038
Phone (954) 435-1760

Other practice location 1

400 N Tampa St
Tampa, FL 33602-4719
Phone (888) 803-3370

Other practice location 2

2820 NE 214th St
Aventura, FL 33180-1268
Phone (888) 803-3370

Other practice location 3

415 N Crescent Dr
Beverly Hills, CA 90210-4860
Phone (888) 803-3370

Other practice location 4

333 1st St
San Francisco, CA 94105-2687
Phone (888) 803-3370

Other identifiers 3

IdentifierTypeStateIssuer
95020076OtherCANURSING LICENSE
F348854-01OtherNYNURSING LICENSE
RN-2156712OtherFLNURSING LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20080311000087 FL Practitioner - Nurse Practitioner 6901981349 Reassigns benefits to 1 organization
I20210817004145 TX Practitioner - Nurse Practitioner 6901981349 Reassigns benefits to 1 organization
I20241003002263 CA Practitioner - Nurse Practitioner 6901981349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seminole Tribe of FloridaGroup PAC ID 4082710835, 8 clinicians
Circle Medical Care of CaliforniaGroup PAC ID 3870894579, 71 clinicians

Practice addresses (Care Compare)

111 W Coral Way
Hollywood, FL 33021-3860
Phone (954) 962-2009

333 1St St
Suite a
San Francisco, CA 94105-2661
Phone (888) 803-3370

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95020076CAMDFamily Nurse Practitioner
2156712FLMDFamily Nurse Practitioner
RN-2156712FLMDFamily Nurse Practitioner
F348854-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Circle Medical Care of California CurrentSince Aug 25, 2024 Accepting new patients
Seminole Tribe of Florida CurrentSince Aug 1, 2021 Accepting new patients
Circle Medical Care Group PA CurrentSince Oct 10, 2025 Accepting new patients
Seminole Tribe of Florida Health Dept. CurrentSince Aug 1, 2021 Accepting new patients

Locations

415 N Crescent Dr
Ste 320
Beverly Hills, CA 90210
Phone (415) 510-2755

415 N Crescent Dr
Beverly Hills, CA 90210
Phone (213) 262-8787

333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441

111 W Coral Way
Hollywood, FL 33021
Phone (954) 962-2009

2820 NE 214th St
Ste 801
Miami, FL 33180
Phone (305) 204-9877

2820 NE 214th St
Miami, FL 33180
Phone (786) 691-4151

400 N Tampa St
Fl 15
Tampa, FL 33602
Phone (844) 435-6833

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743811200000",
    "number": "1174672919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1394 SW 159TH LN",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330275038",
            "telephone_number": "954-435-1760",
            "fax_number": "954-986-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 JOSIE BILLIEAVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "954-962-2009",
            "fax_number": "954-986-0243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N Tampa St",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336024719",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "fax_number": "888-803-3331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2820 NE 214th St",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331801268",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "fax_number": "888-803-3331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 N Crescent Dr",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902104860",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "fax_number": "888-803-3331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 1st St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941052687",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "fax_number": "888-803-3331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOOD",
        "first_name": "PAULINE",
        "middle_name": "VEVIAN",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2025-04-05",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2156712",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F348854-01",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95020076",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "RN-2156712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "95020076",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "F348854-01",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "RN-2156712",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.