Individual provider Active NPI

Jasmine Simone Goodridge

  • Behavior Technician
  • Albuquerque, NM
National Provider Identifier
1255243564
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
10511 Golf Course Rd NW Ste 103
Albuquerque, NM 87114-5917
Phone
(505) 856-6880
NPI assigned
Sep 21, 2026
Last updated
Sep 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X NU Primary

Addresses

Primary practice location

10511 Golf Course Rd NW Ste 103
Albuquerque, NM 87114-5917

Mailing address

10511 Golf Course Rd NW Ste 103
Albuquerque, NM 87114-5917
Phone (505) 856-6880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1255243564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10511 GOLF COURSE RD NW STE 103",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145917",
            "telephone_number": "505-856-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10511 GOLF COURSE RD NW STE 103",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145917",
            "telephone_number": "505-856-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODRIDGE",
        "first_name": "JASMINE",
        "middle_name": "SIMONE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.