Rebecca Goole

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704201123 Issued in MI

Practice address

2600 W Centre Ave
Portage, MI 49024-4828

Phone

(269) 324-4141

Fax

(269) 324-2020

NPI assigned

Aug 5, 2016

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)

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.

• Specialized Family Chiropractic PC

  • Nutrition Chiropractor
  • Portage, MI
  • NPI 1881854164
  NPD

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1700330974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 W CENTRE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244828",
            "telephone_number": "269-324-4141",
            "fax_number": "269-324-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 W CENTRE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244828",
            "telephone_number": "269-324-4141",
            "fax_number": "269-324-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOLE",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-05",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704201123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Goldberger
• Geraldine Gomez, LLMSW
• Stephanie Goodenough
• Ariel Lynne Goodman, OD
• Christopher K Goodwin, M.D.
• Sheila Rae Goole, R.PH.
• Jadwiga Goorman
• Megan Renee Gotham, DC
• Erin N Grabowski, PA
• Kenneth William Grabowski, D.D.S., M.S.

• Family Nurse Practitioner in Portage, MI
• Providers in Portage, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; 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.