William Lee Goodman, RN, MSN FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

478364 Issued in CA

Practice address

Naval Hospital
Box 555191
Camp Pendleton, CA 92055

Phone

(760) 725-1395

Fax

(760) 725-1101

NPI assigned

Jan 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1609854512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 AVENIDA SEVILLA",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920566206",
            "telephone_number": "760-305-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL HOSPITAL",
            "address_2": "BOX 555191",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "92055",
            "telephone_number": "760-725-1395",
            "fax_number": "760-725-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "WILLIAM",
        "middle_name": "LEE",
        "credential": "RN, MSN  FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "478364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Augustus Gleason, MD
• Eugen Stephan Goeser, D.O.
• Maria Gonzalez, IDC
• Samantha Aurey Gonzalez, DMD
• Morgan Lyn Gooding
• Warren Gormley
• Zaccary Griffin
• Santiego Antonio Grijalva
• Michael Robert Grohman, IDC
• Thomas Michael Gudewicz, MD

• Family Nurse Practitioner in Camp Pendleton, CA
• Providers in Camp Pendleton, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.