Individual provider Active NPI

Julie Elizabeth Goodell, D.O.

  • Obstetrics & Gynecology Physician
  • Las Vegas, NV
National Provider Identifier
1811270978
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DO1682 Issued in NV
Practice address
6850 N Durango Dr Ste 204
Las Vegas, NV 89149-4596
Phone
(702) 867-1726
Fax
(702) 534-4701
NPI assigned
Sep 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X DO1682 NV Primary

Addresses

Primary practice location

6850 N Durango Dr Ste 204
Las Vegas, NV 89149-4596

Mailing address

8906 Spanish Ridge Ave Ste 202
Las Vegas, NV 89148-1319
Phone (702) 330-3102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120926000706 NV Practitioner - Obstetrics/Gynecology 3678722162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Women'S Health Associates of Southern Nevada- Martin, PLLCGroup PAC ID 4082845664, 111 clinicians

Practice addresses (Care Compare)

2580 Saint Rose Pkwy
Suite 140
Henderson, NV 89074-7792
Phone (702) 862-8862

6850 N Durango Dr
Suite 204
Las Vegas, NV 89149-4596
Phone (702) 867-1726

7481 W Lake Mead Blvd
Suite 110
Las Vegas, NV 89128-1047
Phone (725) 201-9988

9120 W Post Rd
Suite 200
Las Vegas, NV 89148-2427
Phone (702) 870-2229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Health Associates of Southern Nevada- Martin, PLLC CurrentSince Jan 10, 2015 Accepting new patients
Women'S Health Associates of Southern Nevada- Martin, PLLC Obstetrics & Gynecology CurrentSince Jan 10, 2015 Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients

Locations

10105 Banburry Cross Dr
Ste 460
Las Vegas, NV 89144
Phone (702) 691-9160

6850 N Durango Dr
Ste 202
Las Vegas, NV 89149
Phone (702) 867-1726

9120 W Post Rd
Ste 200
Las Vegas, NV 89148
Phone (702) 255-2022

8906 Spanish Ridge Ave
Ste 202
Las Vegas, NV 89148
Phone (702) 330-3102

6850 N Durango Dr
Ste 204
Las Vegas, NV 89149
Phone (702) 791-7855

330 S Lola Ln
Ste 200
Pahrump, NV 89048
Phone (775) 751-7100

Interoperability endpoints

  • Direct secure messaging: julie.goodell@whasn.eclinicaldirectplus.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1811270978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 SPANISH RIDGE AVE STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481319",
            "telephone_number": "702-330-3102",
            "fax_number": "702-912-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 N DURANGO DR STE 204",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494596",
            "telephone_number": "702-867-1726",
            "fax_number": "702-534-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODELL",
        "first_name": "JULIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-26",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "DO1682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.