Individual provider Active NPI

Jeremy E Gofton, RNFA

  • Registered Nurse First Assistant
  • Tucson, AZ
National Provider Identifier
1265760284
Registry record updated May 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
RN139696 Issued in AZ
Practice address
5601 E Camino del Celador
Tucson, AZ 85750-1824
Phone
(520) 979-9178
NPI assigned
Dec 2, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 125349 CO
Registered Nurse First Assistant 163WR0006X RN139696 AZ Primary

Addresses

Primary practice location

5601 E Camino del Celador
Tucson, AZ 85750-1824

Mailing address

5601 E Camino del Celador
Tucson, AZ 85750-1824
Phone (520) 979-9178

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN139696AZMDRegistered Nurse First Assistant
125349COMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Associates in Surgical Assisting Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401408000000",
    "number": "1265760284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 E CAMINO DEL CELADOR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857501824",
            "telephone_number": "520-979-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 E CAMINO DEL CELADOR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857501824",
            "telephone_number": "520-979-9178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOFTON",
        "first_name": "JEREMY",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-02",
        "last_updated": "2014-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "CO",
            "license": "125349",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "AZ",
            "license": "RN139696",
            "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 May 30, 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.