Lynda Goodenough, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

104165-1206 Issued in UT

Practice address

10011 Centennial Pkwy
Suite 350
Sandy, UT 84070-4156

Phone

(801) 561-3922

Fax

(801) 569-8710

NPI assigned

May 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Granger Medical Clinic PC

  • Multi-Specialty Clinic/Center
  • West Valley City, UT
  • NPI 1184657041
  NPD (past)
• Granger Medical Specialists LLC

  • Clinic/Center
  • West Valley City, UT
  • NPI 1376159368
  NPD (past)
• Revere Health PC

  • Multi-Specialty Clinic/Center
  • Spanish Fork, UT
  • NPI 1851142285
  NPD (past)
• Western Neurological Associates Inc

  • Neurology Physician
  • Salt Lake City, UT
  • NPI 1083611966
  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1295784940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10011 CENTENNIAL PKWY",
            "address_2": "SUITE 350",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704156",
            "telephone_number": "801-561-3922",
            "fax_number": "801-569-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10011 CENTENNIAL PKWY",
            "address_2": "SUITE 350",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704156",
            "telephone_number": "801-561-3922",
            "fax_number": "801-569-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODENOUGH",
        "first_name": "LYNDA",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "104165-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abi Gonzalez Pennington
• Angelica P Gonzalez, ACMHC
• Candice Gonzalez, MSW, LCSW
• Good Growth Therapy
• Good Life Wellness and Education, LLC
• Sally Goodger
• Goodwill Benefits Group, LLC
• Alan D Gorang, MD
• Gordon R. Kimball M.D.,P.C.
• Anthony Scott Gordon, MD

• Medical Physician Assistant in Sandy, UT
• Providers in Sandy, UT by specialty
• Medical Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.