Active NPI
Clifton Paul Goodenough Jr., RN
- Infusion Therapy Registered Nurse
- Glendale, AZ
National Provider Identifier
1649457904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infusion Therapy Registered Nurse
- License
- RN086954
- Practice address
- 6320 W Cortez St
Glendale, AZ 85304-3123 - Phone
- (602) 277-5551
- NPI assigned
- Jan 29, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Registered Nurse | 163WI0500X | RN086954 | AZ | Primary |
Addresses
Primary practice location
6320 W Cortez St
Glendale, AZ 85304-3123
Mailing address
6320 W Cortez St
Glendale, AZ 85304-3123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN086954 | AZ | MD | Infusion Therapy Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201564800000",
"number": "1649457904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6320 W CORTEZ ST",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853043123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6320 W CORTEZ ST",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853043123",
"telephone_number": "602-277-5551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODENOUGH",
"first_name": "CLIFTON",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-29",
"last_updated": "2008-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WI0500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infusion Therapy",
"state": "AZ",
"license": "RN086954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.