Carol Ann Goeken, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP8719 Issued in CA

Practice address

1209 Woodrow Ave Ste B10
Modesto, CA 95350-1273

Phone

(209) 558-5312

Fax

(209) 558-5310

NPI assigned

Dec 28, 2007

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

Other names 1

• Carol Ann Guaspari Other name

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300406400000",
    "number": "1336323153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 WOODROW AVE STE B10",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953501273",
            "telephone_number": "209-558-5312",
            "fax_number": "209-558-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 WOODROW AVE STE B10",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953501273",
            "telephone_number": "209-558-5312",
            "fax_number": "209-558-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEKEN",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-28",
        "last_updated": "2011-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP8719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "GUASPARI",
            "middle_name": "ANN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Catherine Goddard, MS
• Jastine Rose Marie Godfrey
• Sarah Godfrey
• Anika Godhwani, DO
• Sayra Godines
• Peter Goetsch, MD
• Harjit Rita Gogna, M.D.
• Ravi Gogna, MD
• Ajionea Goins
• Asit R. Gokli, M.D.

• Nurse Practitioner in Modesto, CA
• Providers in Modesto, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.