Amy Lynn Goff, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L1990628 Issued in MI

Practice address

2545 Capital Ave SW
Battle Creek, MI 49015-7120

Phone

(269) 969-8723

Fax

(269) 969-8724

NPI assigned

Jan 20, 2012

Last updated

Jan 20, 2012By the provider in NPPES

Sex

Female

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)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cereal City Pediatrics

  • Pediatrics Physician
  • Battle Creek, MI
  • NPI 1033155692
  NPD (past)

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1629349733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 CAPITAL AVE SW",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490157120",
            "telephone_number": "269-969-8723",
            "fax_number": "269-969-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 CAPITAL AVE SW",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490157120",
            "telephone_number": "269-969-8723",
            "fax_number": "269-969-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOFF",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "L1990628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• GL Momentum PLLC
• Latisha Opal Glass, DDS
• Michael Eugene Glass, DDS
• Debra Laprad Gleeson, PH.D.
• Kim Jeffrey Gloystein, MD
• Tracy L Gogan, L.M.S.W., A.C.S.W.
• Joel Lee Goldberg, M.D.
• Bethany Gonzalez, NMW
• Samantha J Gonzalez, LMSW
• Peter D Goodman, MD

• Licensed Practical Nurse in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.