Individual provider Active NPI

Charlotte Renae Goodnight, RN

  • Oncology Registered Nurse
  • Lone Tree, CO
National Provider Identifier
1396259479
Registry record updated Nov 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Registered NurseTaxonomy code 163WX0200X
License
RN0201376 Issued in CO
Practice address
10103 Ridgegate Pkwy Ste G01
Lone Tree, CO 80124-5521
Phone
(720) 225-1786
Fax
(720) 225-4208
NPI assigned
Nov 27, 2017
Last updated
Nov 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Registered Nurse 163WX0200X RN0201376 CO Primary

Addresses

Primary practice location

10103 Ridgegate Pkwy Ste G01
Lone Tree, CO 80124-5521

Mailing address

2910 Draco Cir
Monument, CO 80132-9722
Phone (719) 213-8930

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN0201376COMDOncology Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511740800000",
    "number": "1396259479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 DRACO CIR",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329722",
            "telephone_number": "719-213-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10103 RIDGEGATE PKWY STE G01",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245521",
            "telephone_number": "720-225-1786",
            "fax_number": "720-225-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODNIGHT",
        "first_name": "CHARLOTTE",
        "middle_name": "RENAE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-27",
        "last_updated": "2017-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Oncology",
            "state": "CO",
            "license": "RN0201376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; 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.