Todd Nicholas Hamilton Goodenow, APRN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AP61337929 Issued in WA

Practice address

12 S 8TH St
Yakima, WA 98901-3020

Phone

(509) 454-4143

Fax

(509) 454-4115

NPI assigned

Jun 3, 2013

Last updated

Feb 7, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, WA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Florida International Univ, College of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Yakima Neighborhood Health ServicesGroup PAC ID 6709786585, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Astria Sunnyside Hospital Hospital, Sunnyside, WA, CCN 501330

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: todd.goodenow.p8@direct.ynhs.nextgenshare.com

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

• Yakima Neighborhood Health Services

  dba Neighborhood Health Terrace Heights

  • Federally Qualified Health Center (FQHC)
  • Yakima, WA
  • NPI 1750985727
  Medicare reassignment Care Compare group NPD
• Santa Cruz Community Health Centers

  dba Santa Cruz Women's Health Center

  • Family Medicine Physician
  • Santa Cruz, CA
  • NPI 1902923329

  Nurse Practitioner

  Medicare reassignment NPD
• Yakima Neighborhood Health Services

  dba Neighborhood Connections Annex

  • Federally Qualified Health Center (FQHC)
  • Yakima, WA
  • NPI 1285456772
  NPD
• Yakima Neighborhood Health Services

  • Federally Qualified Health Center (FQHC)
  • Yakima, WA
  • NPI 1962178988
  NPD
• Santa Cruz Community Health Centers

  dba Santa Cruz Mountain Health Center 2

  • Clinic/Center
  • Ben Lomond, CA
  • NPI 1386329142
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sunnyside Community Hospital Association

  dba Astria Sunnyside Hospital

  • Critical Access Hospital
  • Sunnyside, WA
  • NPI 1225033814
  Care Compare affiliation

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1427495167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 KINGSFORD DR",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956086162",
            "telephone_number": "305-890-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 S 8TH ST",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989013020",
            "telephone_number": "509-454-4143",
            "fax_number": "509-454-4115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5555 Ponce De Leon Blvd # 128",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331462513",
            "country_code": "US",
            "telephone_number": "305-284-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODENOW",
        "first_name": "TODD",
        "middle_name": "NICHOLAS HAMILTON",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-03",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9293640",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9293640",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95002588",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "AP61337929",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9293640",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teagan Gonzalez
• Valeria Gonzalez
• Yooquiutzi Gonzalez
• Savanna Mahealani Gooch
• Good Talk Counseling Services LLC
• Patience Goodin
• Charles Meyer Gooss, D.M.D.
• Naveen Prasad Gopalakrishnan Ravikumar, M.D.
• Lisa Gordon
• Laurel A Gorham, C.P.N.P.

• Gerontology Nurse Practitioner in Yakima, WA
• Providers in Yakima, WA by specialty
• Gerontology Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.