Active NPI
Jacqueline Goodman McHugh, LVN
- Licensed Vocational Nurse
- Buda, TX
National Provider Identifier
1396301818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 304413
- Practice address
- 13207 Wright Rd
Buda, TX 78610-5000 - Phone
- (512) 697-8600
- NPI assigned
- May 10, 2019
- Last updated
- May 10, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 304413 | TX | Primary |
Addresses
Primary practice location
13207 Wright Rd
Buda, TX 78610-5000
Mailing address
4201 S Congress Ave
Austin, TX 78745-1198
Phone (512) 697-8600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74-1609108 | Other | TX | REHAB FACILITY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304413 | TX | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557446400000",
"number": "1396301818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 S CONGRESS AVE",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787451198",
"telephone_number": "512-697-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13207 WRIGHT RD",
"city": "BUDA",
"state": "TX",
"postal_code": "786105000",
"telephone_number": "512-697-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN MCHUGH",
"first_name": "JACQUELINE",
"credential": "LVN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-10",
"last_updated": "2019-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "TX",
"license": "304413",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REHAB FACILITY",
"identifier": "74-1609108",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buda, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.