Jessica Goeth, FNP-BC, MSN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704259327 Issued in MI

Practice address

4995 Highland Rd
Waterford, MI 48328-1143

Phone

(663) 892-7278

NPI assigned

Apr 24, 2013

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)

Enrolled

Credentials

Master of Science - Nursing

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1629412309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58048 COLCHESTER RD",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480943607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4995 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483281143",
            "telephone_number": "663-892-7278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETH",
        "first_name": "JESSICA",
        "credential": "FNP-BC, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-24",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704259327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer Gines
• Blake Glanton
• Libbie Gleason
• Christine Glowacki, FNP BC
• Daniel Michael Godfrey, RPH
• Paul M. Gold, D.O.
• Bradley Dean Goldberg, O.D.
• Jill Meredith Goldberg, OD
• Goldinno Healthcare Corp
• Marilyn Barbara Goldman, M.D.

• Family Nurse Practitioner in Waterford, MI
• Providers in Waterford, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.