Marisa Alana Goddard, CNIM

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

License

2033

Practice address

11405 White Forge CT
Sugar Land, TX 77498-0903

Phone

(817) 845-7205

NPI assigned

Feb 9, 2011

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308787200000",
    "number": "1275839128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11405 WHITE FORGE CT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774980903",
            "telephone_number": "817-845-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11405 WHITE FORGE CT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774980903",
            "telephone_number": "817-845-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODDARD",
        "first_name": "MARISA",
        "middle_name": "ALANA",
        "name_prefix": "Miss",
        "credential": "CNIM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-09",
        "last_updated": "2011-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": "2033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNIM",
            "identifier": "2033",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keisha Henderson Glover, LPC
• Glovinchy Healthcare Inc
• GLS Uap Sugarland, LLC
• John A. Glynn, PH.D.
• Jay Goal, M.D.
• Gods Time Healthcare Services Inc
• Prem P Gogia, DPT, PHD
• Sindhura Gogineni, MD
• Irem Aylin Gok
• Hasan Kassim Gokal, MD

• Electroneurodiagnostic Specialist/Technologist in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Electroneurodiagnostic Specialist/Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.