Mary Ellen Good, N.S.

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

RN-093700 /NS04317 Issued in OH

Practice address

2615 Fort Amanda Rd
Lima, OH 45804-3730

Phone

(419) 225-7301

NPI assigned

Jul 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417982612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 951999",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930021",
            "telephone_number": "419-996-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 FORT AMANDA RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458043730",
            "telephone_number": "419-225-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOD",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "credential": "N.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "OH",
            "license": "RN-093700 /NS04317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000200685",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hayley Christine Goist, CRNA
• Vadim Goldshteyn
• Hafez Golzarian, DO
• Emma Jane Gonzalez, AAS, LCDCII
• Good Pharmacy LLC
• Gary Goodin
• Kimberly Goodin, COTA/L
• Sofia Rose Goodwin
• Sophia Rose Goon, PHARMD, RPH
• Patrick Harold Gorman, D.C.

• Diabetes Educator Registered Nurse in Lima, OH
• Providers in Lima, OH by specialty
• Diabetes Educator Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.