Active NPI
Roger Neil Goggans, NP
- Nurse Practitioner
- Oak Ridge, TN
National Provider Identifier
1376579524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APN..7461
- Practice address
- 988 Oak Ridge Tpke
Suite L-50
Oak Ridge, TN 37830-6930 - Phone
- (865) 835-4320
- Fax
- (865) 835-4328
- NPI assigned
- Jun 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APN..7461 | TN | Primary |
Addresses
Primary practice location
988 Oak Ridge Tpke
Suite L-50
Oak Ridge, TN 37830-6930
Mailing address
1460 Hillvale Rd
Louisville, TN 37777-4658
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APN 007461 | Other | TN | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN..7461 | TN | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447113600000",
"number": "1376579524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1460 HILLVALE RD",
"city": "LOUISVILLE",
"state": "TN",
"postal_code": "377774658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "988 OAK RIDGE TPKE",
"address_2": "SUITE L-50",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306930",
"telephone_number": "865-835-4320",
"fax_number": "865-835-4328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOGGANS",
"first_name": "ROGER",
"middle_name": "NEIL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2015-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "APN..7461",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "APN 007461",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.