Organization Active NPI

Gooden Foundation Inc.

  • Voluntary or Charitable Agency
  • Las Vegas, NV
National Provider Identifier
1457721615
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
NV20141521118 Issued in NV
Legal business name
GOODEN FOUNDATION INC.
Practice address
3081 S Valley View Blvd
Las Vegas, NV 89102-7890
Phone
(702) 910-3230
Fax
(702) 910-3231
NPI assigned
Sep 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Authorized official

Name
Ms. Jshauntae Marshall
Title
Treasurer
Phone
(702) 337-4793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X NV20141521118 NV Primary

Addresses

Primary practice location

3081 S Valley View Blvd
Las Vegas, NV 89102-7890

Mailing address

5546 Camino Al Norte # 2-333
North Las Vegas, NV 89031-0805
Phone (702) 910-3230

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.

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1457721615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5546 CAMINO AL NORTE # 2-333",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890310805",
            "telephone_number": "702-910-3230",
            "fax_number": "702-910-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3081 S VALLEY VIEW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891027890",
            "telephone_number": "702-910-3230",
            "fax_number": "702-910-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODEN FOUNDATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "JSHAUNTAE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "702-337-4793",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NV",
            "license": "NV20141521118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.