Active NPI
Alice A Goodman, ARNP
- Family Nurse Practitioner
- Tampa, FL
National Provider Identifier
1801119425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2639402
- Practice address
- 10010 N Dale Mabry Hwy
Suite 120
Tampa, FL 33618-4469 - Phone
- (813) 265-2100
- Fax
- (813) 265-1788
- NPI assigned
- Mar 10, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2639402 | FL | Primary |
Addresses
Primary practice location
10010 N Dale Mabry Hwy
Suite 120
Tampa, FL 33618-4469
Mailing address
10010 N Dale Mabry Hwy
Suite 120
Tampa, FL 33618-4469
Phone (813) 265-2100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2639402 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268179200000",
"number": "1801119425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10010 N DALE MABRY HWY",
"address_2": "SUITE 120",
"city": "TAMPA",
"state": "FL",
"postal_code": "336184469",
"telephone_number": "813-265-2100",
"fax_number": "813-265-1788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10010 N DALE MABRY HWY",
"address_2": "SUITE 120",
"city": "TAMPA",
"state": "FL",
"postal_code": "336184469",
"telephone_number": "813-265-2100",
"fax_number": "813-265-1788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "ALICE",
"middle_name": "A",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-10",
"last_updated": "2010-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "2639402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.