Active NPI
Karen M Goodman, ARNP
- Family Nurse Practitioner
- Lynden, WA
National Provider Identifier
1285655969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP30004920
- Practice address
- 1610 Grover St
Suite D1
Lynden, WA 98264-1539 - Phone
- (360) 354-1333
- Fax
- (360) 354-5399
- NPI assigned
- Jul 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP30004920 | WA | Primary |
Addresses
Primary practice location
1610 Grover St
Suite D1
Lynden, WA 98264-1539
Mailing address
709 W Orchard Dr
Suire 4
Bellingham, WA 98225-1766
Phone (360) 318-8800
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 423898057 | Other | WA | GROUP HEALTH COOPERATIVE |
| 0500009160 | Other | WA | RAILROAD MEDICARE |
| 42079 | Other | WA | REGENCE BLUESHIELD |
| 8924736 | Other | WA | L & I (CRIME VICTIM) |
| 0128913 | Other | WA | L & I (REGULAR) |
| 9625161 | Medicaid | WA |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30004920 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Network PLLC | Current | Accepting new patients | |
| Family Care Network PLLC | Current | Accepting new patients | |
| Family Care Network PLLC | Current | Accepting new patients |
Locations
1610 Grover St
Ste D1
Lynden, WA 98264
Phone (360) 312-3785
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Bellingham, WA
- NPI 1427001015
-
- Family Medicine Physician
- Bellingham, WA
- NPI 1558952150
-
- Family Medicine Physician
- Bellingham, WA
- NPI 1720024227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434326400000",
"number": "1285655969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 W ORCHARD DR",
"address_2": "SUIRE 4",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982251766",
"telephone_number": "360-318-8800",
"fax_number": "360-318-1085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 GROVER ST",
"address_2": "SUITE D1",
"city": "LYNDEN",
"state": "WA",
"postal_code": "982641539",
"telephone_number": "360-354-1333",
"fax_number": "360-354-5399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "KAREN",
"middle_name": "M",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2015-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30004920",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH COOPERATIVE",
"identifier": "423898057",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "0500009160",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUESHIELD",
"identifier": "42079",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I (CRIME VICTIM)",
"identifier": "8924736",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I (REGULAR)",
"identifier": "0128913",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9625161",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lynden, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.