Jessica Goodman, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-142304 Issued in KS

Practice address

919 W Zerr Rd
Garden City, KS 67846-2777

Phone

(620) 640-3652

NPI assigned

Jan 8, 2019

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

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1649743022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 W JULIE ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678462621",
            "telephone_number": "620-640-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 W ZERR RD",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678462777",
            "telephone_number": "620-640-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "JESSICA",
        "credential": "IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "KS",
            "license": "L-142304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Goetschius, PHARMD
• Michelle Gomez, APRN
• Nora Gonzalez Mendoza
• Pamela Merced Gonzalez, MS, LMFT
• Archie L Gooden, RPT
• Nancy Joan Goodman, SLP
• Grant County Medical Equipment, LLC
• James Jerome Greene, DC
• Jennifer Irene Gruber
• Christine A Guebara, ARNP

• Lactation Consultant (Non-RN) in Garden City, KS
• Providers in Garden City, KS by specialty
• Lactation Consultant (Non-RN) in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.