Jordan Edward Gouker, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

LP-0010760 Issued in DE

Practice address

1745 Touchstone Way
Indianapolis, IN 46239-8972

Phone

(765) 639-2892

NPI assigned

May 11, 2024

Sex

Male

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)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1715385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715385600000",
    "number": "1306694591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 TOUCHSTONE WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462398972",
            "telephone_number": "765-639-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 TOUCHSTONE WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462398972",
            "telephone_number": "765-639-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUKER",
        "first_name": "JORDAN",
        "middle_name": "EDWARD",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-11",
        "last_updated": "2024-05-11",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "DE",
            "license": "LP-0010760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derrick Lee Goubeaux, D.O.
• Kelly H Goudreau, BCBA
• Christine Elizabeth Gough, MD
• Karen Lynn Gough, RDN
• Carol Ruth Gouker, ANP
• Goul Family Medicine LLC
• Rhonda Goul, M.D.
• Emily Marie Gould, MD
• Jeannette Lee Gould, ACNP
• Scott D. Gould, OTR

• Acute Care Nurse Practitioner in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Acute Care Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2024; 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.