Sueane Goodreau, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F333922-1 Issued in NY

Practice address

620 W Seneca St
Ithaca, NY 14850-3326

Phone

(607) 273-1513

Fax

(607) 273-8776

NPI assigned

Dec 1, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2002

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Planned Parenthood of Greater New York Inc

  • Ambulatory Family Planning Facility
  • Brooklyn, NY
  • NPI 1417959701

  NY

  Medicare reassignment NPD
• New York Em-I Medical Services PC

  • Emergency Medicine Physician
  • Cortland, NY
  • NPI 1255457917
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403654400000",
    "number": "1669540233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W SENECA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148503326",
            "telephone_number": "607-273-1513",
            "fax_number": "607-273-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W SENECA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148503326",
            "telephone_number": "607-273-1513",
            "fax_number": "607-273-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODREAU",
        "first_name": "SUEANE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2014-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F333922-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00362863",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen E Gonta
• Mary K Gonyea
• Sydnee Gonzalez
• Jennifer Goodman, BS, MS, OTR/L
• Linda B. Goodnough, M.S.,SLP
• Carrie Lynn Goodrich, FNP
• Stephanie L Goodwin, DO
• Sophia Rose Goosen, BSN, RN
• Beth J Gordon, M.S.
• Jennifer Ryan Gordon, ATS

• Nurse Practitioner in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.