Amanda Violet Grippen Goddard, D.O.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

A233920 Issued in NM

Practice address

7001 Signal Ave NE
Albuquerque, NM 87113-2453

Phone

(505) 826-2735

Fax

(505) 856-2749

NPI assigned

May 27, 2014

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 3

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Allergy/Immunology

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allergy Partners PLLCGroup PAC ID 7113822420, shared by 21 NPIs, 144 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Allergy Partners, PLLC

  • Allergy & Immunology Physician
  • Santa Fe, NM
  • NPI 1225028541
  Medicare reassignment NPD
• Allergy Partners, PLLC

  • Allergy & Immunology Physician
  • Albuquerque, NM
  • NPI 1982816591
  Medicare reassignment NPD

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1710399654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603725",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603725",
            "telephone_number": "828-575-2625",
            "fax_number": "828-350-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 SIGNAL AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132453",
            "telephone_number": "505-826-2735",
            "fax_number": "505-856-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIPPEN GODDARD",
        "first_name": "AMANDA",
        "middle_name": "VIOLET",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-27",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NM",
            "license": "A233920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "1D3719",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38337207",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "1D3721",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Kaitlyn Grindell, MOT
• Matthew Grindstaff, NNP-BC
• Reina Grine-Gallardo
• Archie Grine
• Lisa E Grinnell, MA, LPCC
• Ashley Grisdale
• Lynn Cheryl Grisham
• Tucker Daly Griswold
• Alison T Gritchen
• Gary Gritzbaugh, DDS

• Allergy & Immunology Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Allergy & Immunology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.