Individual provider Active NPI

Janis C Goedeke, APRN

  • Ambulatory Women's Health Care Registered Nurse
  • Pittsburg, KS
National Provider Identifier
1467702589
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Women's Health Care Registered NurseTaxonomy code 163WW0101X
License
44220 Issued in KS
Practice address
410 E Atkinson Ave
Pittsburg, KS 66762-2342
Phone
(620) 235-7114
Fax
(620) 235-7115
NPI assigned
Sep 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Women's Health Care Registered Nurse 163WW0101X 44220 KS Primary

Addresses

Primary practice location

410 E Atkinson Ave
Pittsburg, KS 66762-2342

Mailing address

410 E Atkinson Ave
Pittsburg, KS 66762-2342
Phone (620) 235-7114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44220KSMDAmbulatory Women's Health Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
County of Crawford Past Accepting new patients
Health & Family Services Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1467702589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E ATKINSON AVE",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667622342",
            "telephone_number": "620-235-7114",
            "fax_number": "620-235-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E ATKINSON AVE",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667622342",
            "telephone_number": "620-235-7114",
            "fax_number": "620-235-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEDEKE",
        "first_name": "JANIS",
        "middle_name": "C",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "KS",
            "license": "44220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.