Organization Active NPI

Goodman Health Services LLC

  • Primary Care Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1447119383
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
GOODMAN HEALTH SERVICES LLC
Practice address
3500 Depauw Blvd Ste 10801
Indianapolis, IN 46268-1170
Phone
(317) 531-1783
Fax
(317) 854-9277
NPI assigned
Jan 16, 2026
Last updated
Jan 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Authorized official

Name
Tiffany Marie GoodmanNPI 1265169676
Title
Owner & Ceo
Phone
(317) 531-1783

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X
Primary Care Nurse Practitioner 363LP2300X Primary

Addresses

Primary practice location

3500 Depauw Blvd Ste 10801
Indianapolis, IN 46268-1170

Mailing address

10730 Hunter Lake LN
Indianapolis, IN 46239-8986
Phone (317) 531-1783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260226002658 IN Part B Supplier - Clinic/Group Practice 4688155799 Receives reassigned benefits from 1 practitioner
Practice locations: Indianapolis, IN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1768521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1447119383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10730 HUNTER LAKE LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462398986",
            "telephone_number": "317-531-1783",
            "fax_number": "317-854-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 10801",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681170",
            "telephone_number": "317-531-1783",
            "fax_number": "317-854-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODMAN HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-16",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER & CEO",
        "authorized_official_telephone_number": "317-531-1783"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.