Jennifer Goodall I, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

317243 Issued in NY

Practice address

427 N Main St Apt 20
Canandaigua, NY 14424-1040

Phone

(585) 662-7252

NPI assigned

Jul 10, 2014

Last updated

Jul 10, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1184030041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 N MAIN ST APT 20",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241040",
            "telephone_number": "585-662-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 N MAIN ST APT 20",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241040",
            "telephone_number": "585-662-7252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODALL",
        "first_name": "JENNIFER",
        "name_suffix": "I",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "317243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oliver Gilroy, RN, RNFA
• Mary Wetherby Gleason, RN
• Kipling B Goh, M.D.
• Niravkumar Gohel, PHARM D.
• Jason Goldwasser
• Colin P Gooley, SOCIAL WORKER
• Lisa Gordner, LCSW
• Frances Gouda, MHC
• Meredith Christine Grace, NP
• Kerry Widdersheim Graff, M.D.

• Licensed Practical Nurse in Canandaigua, NY
• Providers in Canandaigua, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.