Diane Goetz Family Practice PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

DIANE GOETZ FAMILY PRACTICE PLLC

Practice address

3000 Alvey Park Dr W Ste D
Owensboro, KY 42303-4099

Phone

(270) 215-7744

NPI assigned

Sep 8, 2020

Organization subpart

No

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

Authorized official

Name

Diane Goetz, NPNPI 1366972283

Title

Owner

Phone

(270) 215-7744

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diane Michelle Goetz, APRN

  • Family Nurse Practitioner
  • Owensboro, KY
  • NPI 1366972283
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1750995643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ALVEY PARK DR W STE D",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423034099",
            "telephone_number": "270-215-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ALVEY PARK DR W STE D",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423034099",
            "telephone_number": "270-215-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE GOETZ FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-08",
        "last_updated": "2023-11-13",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "GOETZ",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-215-7744",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Blake Allen Dickens, D.M.D.
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• Dignity Living LLP

• Family Nurse Practitioner in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.