Individual provider Active NPI

Katherine Martin-Goodhart, APRN-CNP

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1487408209
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
870894 Issued in NV
Practice address
2801 S Valley View Blvd Ste 1B
Las Vegas, NV 89102-0116
Phone
(702) 379-7194
NPI assigned
Apr 17, 2024
Last updated
Apr 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 870894 NV Primary

Addresses

Primary practice location

2801 S Valley View Blvd Ste 1B
Las Vegas, NV 89102-0116

Mailing address

487 Astillero St
Las Vegas, NV 89138-1601
Phone (702) 379-7194

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
870894NVMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1487408209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "487 ASTILLERO ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891381601",
            "telephone_number": "702-379-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 S VALLEY VIEW BLVD STE 1B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020116",
            "telephone_number": "702-379-7194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN-GOODHART",
        "first_name": "KATHERINE",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "870894",
            "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 Apr 17, 2024; 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.