Nancy Deane Good Maddox, MA LSPE

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

SPE 1475 Issued in TN

Practice address

6144 Cumberland Gap Parkway
Suite 2
Harrogate, TN 37752

Phone

(423) 626-6352

NPI assigned

Sep 12, 2006

Last updated

Jan 9, 2009By the provider in NPPES

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)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231459200000",
    "number": "1790889475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1604",
            "city": "NEW TAZEWELL",
            "state": "TN",
            "postal_code": "378241604",
            "telephone_number": "423-626-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6144 CUMBERLAND GAP PARKWAY",
            "address_2": "SUITE 2",
            "city": "HARROGATE",
            "state": "TN",
            "postal_code": "37752",
            "telephone_number": "423-626-6352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOD MADDOX",
        "first_name": "NANCY",
        "middle_name": "DEANE",
        "credential": "MA LSPE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2009-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "TN",
            "license": "SPE 1475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britteny Donielle Fultz, APRN
• Karoline Gasque
• Jessica Ghebranious
• Julia Megan Gigliotti
• Saraa Girges
• Melissa Renee Gossett, BSN, RN
• Baylie Graves, NP-C
• Glenn Grimsley
• Vickie Hale, MA, CCC-SLP
• Stacy Hall, PA-C

• Health Service Psychologist in Harrogate, TN
• Providers in Harrogate, TN by specialty
• Health Service Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; 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.