Individual provider Active NPI

Amy L. Goff-Yates, NURSE PRACTITIONER

  • Nurse Practitioner
  • Germantown, OH
National Provider Identifier
1306407101
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.024867 Issued in OH
Practice address
2320 Beechwood Dr
Germantown, OH 45327-9462
Phone
(937) 895-4092
Fax
(937) 855-6044
NPI assigned
Jun 24, 2019
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRNCNP024867 OH
Nurse Practitioner 363L00000X APRN.CNP.024867 OH Primary

Addresses

Primary practice location

2320 Beechwood Dr
Germantown, OH 45327-9462

Mailing address

2912 Springboro W Ste 201
Moraine, OH 45439-1674
Phone (937) 297-8999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191115001491 OH Practitioner - Nurse Practitioner 3971935735 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.024867OHMDNurse Practitioner
APRNCNP024867OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Diagnostics Inc CurrentSince Jun 1, 2020 Accepting new patients
Healing Partners Plus PLLC CurrentSince Jul 1, 2025 Accepting new patients
Providence Medical Group, Inc. CurrentSince Apr 3, 2023 Accepting new patients
Consonant Healing Associates of de LLC Nurse Practitioner CurrentSince Nov 4, 2024 Accepting new patients
Providence Medical Group Nurse Practitioner Current Accepting new patients

Locations

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

200 Public Sq
Ste 2300
Cleveland, OH 44114
Phone (443) 483-9300

240 W Elmwood Dr
Ste 1000
Dayton, OH 45459
Phone (937) 224-8200

2320 Beechwood Dr
Germantown, OH 45327
Phone (937) 895-4092

6100 Oak Tree Blvd
Ste 200
Independence, OH 44131
Phone (330) 344-9030

2912 Springboro W
Ste 201
Moraine, OH 45439
Phone (937) 297-8996

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1705/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1306407101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2912 SPRINGBORO W STE 201",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391674",
            "telephone_number": "937-297-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 BEECHWOOD DR",
            "city": "GERMANTOWN",
            "state": "OH",
            "postal_code": "453279462",
            "telephone_number": "937-895-4092",
            "fax_number": "937-855-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOFF-YATES",
        "first_name": "AMY",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRNCNP024867",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.024867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, OH

Sources for this page

Verify at the official NPI Registry.