Vicki Michelle Goss, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

61423 Issued in ID

Practice address

13400 S Pleasant Valley Rd
Kuna, ID 83634-2716

Phone

(208) 383-1635

NPI assigned

Oct 20, 2019

Last updated

Sep 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Livewell Health and Wellness LLC

  • Nurse Practitioner
  • Boise, ID
  • NPI 1184491755
  NPD Authorized official

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

{
    "created_epoch": "1571529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1770126062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 S PLEASANT VALLEY RD",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836342716",
            "telephone_number": "208-383-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 S PLEASANT VALLEY RD",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836342716",
            "telephone_number": "208-383-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSS",
        "first_name": "VICKI",
        "middle_name": "MICHELLE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-20",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "61423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Anne Fry Lawson, C-PNP
• Full Circle Health, Inc. (Full Circle Health)
• Sarah G. Gerrish, M.D.
• Tarisai Githu, DDS
• Katie Yvonne Gonzalez, RPH
• Grant Francis DDS PC
• Shannon Maureen Gray, LMSW
• Jim Anderson Grigg, LCPC, LMFT
• Lisa S Grigg, OD
• Robert D Grigg, OD

• Nurse Practitioner in Kuna, ID
• Providers in Kuna, ID by specialty
• Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.