Goode Provider

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

GOODE PROVIDER

Practice address

2969 Mountain Terrace St
Memphis, TN 38127-8335

Phone

(901) 821-1123

NPI assigned

May 8, 2018

Organization subpart

No

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

Authorized official

Name

Brenda Montgomery

Title

Administrator

Phone

(346) 262-2669

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1225527989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 342322",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381842322",
            "telephone_number": "901-230-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2969 MOUNTAIN TERRACE ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381278335",
            "telephone_number": "901-821-1123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1630 Goodman Rd E Ste 3",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386719556",
            "country_code": "US",
            "telephone_number": "662-470-7232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOODE PROVIDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "346-262-2669"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Goode Chiropractic Clinic, LLC
• Gary Allen Goode, D.C.
• Murra Goode, R.D., L.D.N.
• Marissa Elise Gooden, RPH
• Jennifer Celeste Goodfred, D.O.
• John Goodfred, DO

• Adult Health Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Adult Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.