Bobby Eugene Goodson, SRNA

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

0001265704 Issued in VA

Practice address

400 N State of Franklin Rd
Johnson City, TN 37604-6035

Phone

(423) 431-6111

NPI assigned

Mar 10, 2022

Last updated

Mar 10, 2022By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1356098271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 MARCUS WAY APT 3",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242104177",
            "telephone_number": "276-696-2657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N STATE OF FRANKLIN RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046035",
            "telephone_number": "423-431-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODSON",
        "first_name": "BOBBY",
        "middle_name": "EUGENE",
        "credential": "SRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "VA",
            "license": "0001265704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "goodsonb@vcu.edu",
            "affiliation": "N",
            "endpointDescription": "SRNA school email",
            "address_1": "400 N State Of Franklin Rd",
            "city": "Johnson City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "376046035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Frederico Augusto Gomes-Filho, MD
• Roxanne Gonzalez
• Danielle S Good
• Linda M Good, LPC/MHSP
• Kayla Briana Goodman, CNM
• Dalton James Gore, COTA/L
• Hannah Gore
• Paul William Gorman, M.D.
• James A Goss, M.D.
• Gretel L Gossett, M.S. CF-SLP

• School Registered Nurse in Johnson City, TN
• Providers in Johnson City, TN by specialty
• School Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.