Active NPI
Carrie Gooden
- Other Technician
- Cedar City, UT
National Provider Identifier
1679800981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 35038888-3503
- Practice address
- 54 N. 200 East
Cedar City, UT 84720 - Phone
- (435) 865-6481
- NPI assigned
- Nov 6, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Other Technician | 247200000X | 35038888-3503 | UT | Primary |
Addresses
Primary practice location
54 N. 200 East
Cedar City, UT 84720
Mailing address
54 N. 200 East
Cedar City, UT 84720
Phone (435) 865-6481
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35038888-3503 | UT | MD | Other Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Center | Past | Accepting new patients | |
| Southwest Behavioral Health Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Case Management Agency
- St George, UT
- NPI 1659696532
-
- Substance Use Disorder Rehabilitation Clinic/Center
- St George, UT
- NPI 1548212640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257465600000",
"number": "1679800981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 N. 200 EAST",
"city": "CEDAR CITY",
"state": "UT",
"postal_code": "84720",
"telephone_number": "435-865-6481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 N. 200 EAST",
"city": "CEDAR CITY",
"state": "UT",
"postal_code": "84720",
"telephone_number": "435-865-6481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODEN",
"first_name": "CARRIE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-06",
"last_updated": "2009-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "UT",
"license": "35038888-3503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.