Renee Patricia Gooden-Clarke, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11005764 Issued in FL

Practice address

2425 E Commercial Blvd Ste 202
Fort Lauderdale, FL 33308-4062

Phone

(954) 408-0125

Fax

(954) 408-0127

NPI assigned

Apr 25, 2019

Sex

Female

Sole proprietor

No

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)

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.

• Dykal Health Management Consultants, LLC

  • Family Nurse Practitioner
  • Ft Lauderdale, FL
  • NPI 1891408365
  NPD Authorized official

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1447814397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 E COMMERCIAL BLVD STE 202",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084062",
            "telephone_number": "954-408-0125",
            "fax_number": "954-408-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 E COMMERCIAL BLVD STE 202",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084062",
            "telephone_number": "954-408-0125",
            "fax_number": "954-408-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODEN-CLARKE",
        "first_name": "RENEE",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11005764",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011515",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro Jose Gonzalez, M.D.
• Rebecca Gonzalez
• Good Counseling Inc.
• Good Life ABA Therapy LLC
• Lindsay Good, PSYD
• Goodman Drugs of FL Corp
• Jillian Goodman, SLP-CCC
• Marissa I Goodman, LMHC, LPC, NCC, QS
• Amy Goodner
• Lindsay Goodnight, BCBA

• Family Nurse Practitioner in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.