Becky Goodson

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP3868 Issued in AZ

Practice address

1111 S Stapley Dr Ste 111
Mesa, AZ 85204-5060

Phone

(480) 398-1220

Fax

(480) 398-1230

NPI assigned

Dec 16, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Shannon Gray

  • Specialist
  • Mesa, AZ
  • NPI 1245553502
  NPD (past)
• VMG, LLC

  • Specialist
  • Mesa, AZ
  • NPI 1093043531
  NPD (past)

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1831492610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 S GILBERT RD",
            "address_2": "STE 111",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852955892",
            "telephone_number": "480-398-1220",
            "fax_number": "480-983-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 S STAPLEY DR STE 111",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045060",
            "telephone_number": "480-398-1220",
            "fax_number": "480-398-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODSON",
        "first_name": "BECKY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-16",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN137766",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP3868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Goodman, PT, DPT
• Zachary Bryen Goodman, DC
• Ann E Goodrich, MS CCC SLP
• Austin Glenn Goodrich, ATC
• Carrie Christina Goodrum, FNP
• Carl Lewis Goodwin
• Marla Ann Goodwin
• Priscilla Anne Goodwin, PROF. FOSTER HOME
• Richard Lewis Goodwin
• Goodworks Counseling, Inc.

• Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.