Individual provider Active NPI

Jenee Cymone Gooden, DPM

  • Podiatrist
  • Bridgeport, CT
National Provider Identifier
1497498844
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1395-25 Issued in WI
Practice address
267 Grant St
Bridgeport, CT 06610-2805
Phone
(203) 384-3998
NPI assigned
Apr 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1395-25 WI Primary

Addresses

Primary practice location

267 Grant St
Bridgeport, CT 06610-2805

Mailing address

4837 Stony Hill St
North Las Vegas, NV 89031-5123

Other practice location 1

1001 Quinn Dr
Waunakee, WI 53597-2502
Phone (847) 504-5000

Other practice location 2

1951 E State Highway 97
Jourdanton, TX 78026-1523
Phone (847) 504-5000

Other practice location 3

201 Oakhill Rd
Jasper, AL 35504-7496
Phone (847) 504-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1497498844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4837 STONY HILL ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890315123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 GRANT ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102805",
            "telephone_number": "203-384-3998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Quinn Dr",
            "address_purpose": "LOCATION",
            "city": "Waunakee",
            "state": "WI",
            "postal_code": "535972502",
            "country_code": "US",
            "telephone_number": "847-504-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1951 E State Highway 97",
            "address_purpose": "LOCATION",
            "city": "Jourdanton",
            "state": "TX",
            "postal_code": "780261523",
            "country_code": "US",
            "telephone_number": "847-504-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Oakhill Rd",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "AL",
            "postal_code": "355047496",
            "country_code": "US",
            "telephone_number": "847-504-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODEN",
        "first_name": "JENEE",
        "middle_name": "CYMONE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "1395-25",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.