Maurice David Goudeau, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN 60721245 Issued in WA

Practice address

12902 NE 37TH CT
Vancouver, WA 98686-4906

Phone

(360) 600-1204

Fax

(360) 573-3829

NPI assigned

Jul 10, 2013

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1518308253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12902 NE 37TH CT",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986864906",
            "telephone_number": "360-600-1204",
            "fax_number": "360-573-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12902 NE 37TH CT",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986864906",
            "telephone_number": "360-600-1204",
            "fax_number": "360-573-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUDEAU",
        "first_name": "MAURICE",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-10",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN 60721245",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "098007012RN",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Ashley Goss
• Kristine Gossob, MA
• Carrie Jean Kay Gotkowitz, M.D.
• Mackenzie Gottfried, LMHC, LPC
• Casey Lyn Gottschalk, LMP
• Gary R Gouger, R.PH.,O.D.
• Stephen Goulding Javier
• Guillermo Gow-Lee, M.D.
• Joseph Goyzman, AUD., CCC-A
• Hannah Grabhorn

• Registered Nurse in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.