Erin Goodfellow, NURSE PRACTITIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

66194 Issued in ID

Practice address

746 N College Rd Ste a
Twin Falls, ID 83301-3486

Phone

(208) 814-7230

NPI assigned

Feb 17, 2021

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

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Visions Home Health & Visions Home Care, LLC

  • Home Health Agency
  • Twin Falls, ID
  • NPI 1235137761

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1417540741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241",
            "telephone_number": "208-381-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 N COLLEGE RD STE A",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013486",
            "telephone_number": "208-814-7230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3249 E 3700 N",
            "address_purpose": "LOCATION",
            "city": "Kimberly",
            "state": "ID",
            "postal_code": "833415347",
            "country_code": "US",
            "telephone_number": "208-731-1585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODFELLOW",
        "first_name": "ERIN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "66194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime Rae Goffin, LCSW, CADCI
• Geoffroi Andre Golay, D.C.
• Jacqueline Golay, LMSW
• Bruce E. Gollub, M.D.
• Samantha Gonzales, FNP-C
• Gooding Pharmacy Inc
• Gooding Pharmacy Inc
• Mason Goodman
• Taryna J Goodman, NP
• Mitchell Maurice Gordon, CPSS, YPSS

• Nurse Practitioner in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.