Individual provider Active NPI

Cami G. Goucher, C.N.P.

  • Family Nurse Practitioner
  • Canal Fulton, OH
National Provider Identifier
1659624757
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA13937NP Issued in OH
Practice address
944 Cherry St E
Canal Fulton, OH 44614-8669
Phone
(330) 854-4574
Fax
(330) 854-0829
NPI assigned
Oct 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA13937NP OH Primary

Addresses

Primary practice location

944 Cherry St E
Canal Fulton, OH 44614-8669

Mailing address

944 Cherry St E
Canal Fulton, OH 44614-8669
Phone (330) 854-4574

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)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA13937NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Canton, Inc. Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1659624757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 CHERRY ST E",
            "city": "CANAL FULTON",
            "state": "OH",
            "postal_code": "446148669",
            "telephone_number": "330-854-4574",
            "fax_number": "330-854-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 CHERRY ST E",
            "city": "CANAL FULTON",
            "state": "OH",
            "postal_code": "446148669",
            "telephone_number": "330-854-4574",
            "fax_number": "330-854-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUCHER",
        "first_name": "CAMI",
        "middle_name": "G.",
        "credential": "C.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA13937NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canal Fulton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.