Grace Goodman, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

3020831 Issued in NY

Practice address

11 Hills Rd
Albany, NY 12211-1320

Phone

(518) 782-0722

NPI assigned

Dec 23, 2011

Last updated

Dec 23, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1417226259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HILLS RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122111320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HILLS RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122111320",
            "telephone_number": "518-782-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "GRACE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-23",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "3020831",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "302083-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa S Goodemote, PMHNP
• Kristina Kay Goodermote
• Erin Ann Goodfellow, LCSW
• Aylah Goodfriend
• David Scott Goodman
• Jaime Goodman, C.PED
• Kelley Goodman, L.M.S.W
• Cecelia Jeanne Gookin, M.S. O.T.R.
• Elana B Gordis, PH.D.
• Charles Gordon Jr., PA-C

• Registered Nurse in Albany, NY
• Providers in Albany, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.