Active NPI
Emily Marie Goetz, NREMT
- Athletic Trainer
- West Lafayette, IN
National Provider Identifier
1295546083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2000057526
- Practice address
- 900 N John R Wooden Dr
West Lafayette, IN 47907-2117 - Phone
- (800) 497-7678
- NPI assigned
- Jan 20, 2025
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2000057526 | Primary |
Addresses
Primary practice location
900 N John R Wooden Dr
West Lafayette, IN 47907-2117
Mailing address
2780 Elite LN # F-201
West Lafayette, IN 47906-5388
Phone (717) 645-8062
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5374-8652-3147 | Other | PA | NREMT |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748390400000",
"number": "1295546083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2780 ELITE LN # F-201",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479065388",
"telephone_number": "717-645-8062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 N JOHN R WOODEN DR",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479072117",
"telephone_number": "800-497-7678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOETZ",
"first_name": "EMILY",
"middle_name": "MARIE",
"credential": "NREMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-20",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": "2000057526",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NREMT",
"identifier": "5374-8652-3147",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.