Good Faith Family Medicine, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GOOD FAITH FAMILY MEDICINE, LLC

Practice address

8055 O Street Suite 100
Lincoln, NE 68510

Phone

(402) 488-4022

NPI assigned

Aug 11, 2017

Organization subpart

No

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

Authorized official

Name

Candice Hottovy

Title

Manager

Phone

(402) 488-4022

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502409600000",
    "number": "1821513722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 O ST STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8055 O STREET SUITE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68510",
            "telephone_number": "402-488-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD FAITH FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-11",
        "last_updated": "2017-08-11",
        "status": "A",
        "authorized_official_last_name": "HOTTOVY",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "402-488-4022"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shawneen M Gonzalez, DDS, MS
• Yanisleidy Gonzalez
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• Good Life Virtual Care
• Jennifer Goodban, LPN
• Kyle Robert Goodban, PT,DPT
• Rebecca Marie Goodban, APRN

• Family Medicine Physician in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2017; 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.