Organization Active NPI

Diane Goedecke, NP, Women'S Health Care

  • Clinic/Center
  • Tucson, AZ
National Provider Identifier
1194079889
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DIANE GOEDECKE, NP, WOMEN'S HEALTH CARE
Practice address
2850 E Skyline Dr
Ste 130
Tucson, AZ 85718-8012
Phone
(520) 751-4321
Fax
(521) 751-4640
NPI assigned
Nov 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Authorized official

Name
Diane M Goedecke, NP
Title
President/Owner
Phone
(520) 751-4321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2850 E Skyline Dr
Ste 130
Tucson, AZ 85718-8012

Mailing address

2850 E Skyline Dr
Ste 130
Tucson, AZ 85718-8012
Phone (520) 751-4321

National Provider Directory

National Provider Directory

Locations

5659 E Grant Rd
Tucson, AZ 85712
Phone (520) 731-3317

NPI Registry JSON

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1194079889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 E SKYLINE DR",
            "address_2": "STE 130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857188012",
            "telephone_number": "520-751-4321",
            "fax_number": "521-751-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 E SKYLINE DR",
            "address_2": "STE 130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857188012",
            "telephone_number": "520-751-4321",
            "fax_number": "521-751-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE GOEDECKE, NP, WOMEN'S HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-01",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "GOEDECKE",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "520-751-4321",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.