Individual provider Active NPI

Kimberly Ruth Goering, BSN RNALABAMA

  • School Registered Nurse
  • Kennewick, WA
National Provider Identifier
1750003794
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN00099388 Issued in WA
Practice address
6411 W 38TH Ave
Kennewick, WA 99338-1517
Phone
(509) 222-6503
Fax
(509) 222-6501
NPI assigned
Sep 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN00099388 WA Primary

Addresses

Primary practice location

6411 W 38TH Ave
Kennewick, WA 99338-1517

Mailing address

6411 W 38TH Ave
Kennewick, WA 99338-1517
Phone (509) 222-6503

Other practice location 1

201 S Dawes St
Kennewick, WA 99336-2047
Phone (509) 222-5503

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
Credentials
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
RN00099388WAMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1750003794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6411 W 38TH AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993381517",
            "telephone_number": "509-222-6503",
            "fax_number": "509-222-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6411 W 38TH AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993381517",
            "telephone_number": "509-222-6503",
            "fax_number": "509-222-6501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 S Dawes St",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993362047",
            "country_code": "US",
            "telephone_number": "509-222-5503",
            "fax_number": "509-222-5501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOERING",
        "first_name": "KIMBERLY",
        "middle_name": "RUTH",
        "credential": "BSN RNALABAMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WA",
            "license": "RN00099388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.