Kristie Goeckner, MSN, RN

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

041.368709 Issued in IL

Practice address

2340 Alumni Hall
Edwardsville, IL 62026-0001

Phone

(217) 663-9029

NPI assigned

Aug 14, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1396528535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 E 1200TH AVE",
            "city": "ALTAMONT",
            "state": "IL",
            "postal_code": "624112005",
            "telephone_number": "217-663-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 ALUMNI HALL",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620260001",
            "telephone_number": "217-663-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOECKNER",
        "first_name": "KRISTIE",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "IL",
            "license": "041.368709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abbie Elizabeth George
• Lauren M Gibbs
• Amy Rose Gilomen, RDN
• Adriana Givens-Keeper, LPC
• Kelsey Godar, MSN, RN
• Shandra Dawn Goersch, MSN, RN
• Stephanie R Goggin, OD
• Bryan Gomez, RBT
• Sabrina Gomez
• Haley Nichole Goodfellow, RD, LDN

• Diabetes Educator Registered Nurse in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Diabetes Educator Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.