Teresa Diane Goodner, FNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

7041186-4405 Issued in UT

Practice address

10217 S Walnut Canyon LN
South Jordan, UT 84009-7141

Phone

(801) 651-8014

NPI assigned

May 7, 2020

Last updated

Sep 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

A Step Ahead PsychiatryGroup PAC ID 6901334226, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• A Step Ahead Psychiatry

  • Psychiatry Physician
  • Riverton, UT
  • NPI 1194556431

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Comprehensive Psychological Services Inc

  • Psychologist
  • Salt Lake City, UT
  • NPI 1407878333

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1841812260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10217 S WALNUT CANYON LN",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840097141",
            "telephone_number": "801-651-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10217 S WALNUT CANYON LN",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840097141",
            "telephone_number": "801-651-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODNER",
        "first_name": "TERESA",
        "middle_name": "DIANE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-07",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "7041186-3102",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "7041186-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natali Gonzales
• Gabriela Gaia Gonzalez, ACMHC
• Liesel Gonzalez
• Mariann Gonzalez, ACMHC
• Brian Pierce Good, M.D.
• John Goodson
• Bryce Goodwin
• Bryan Gordon, D.C.
• Kyle Gordon, DC
• Courtney Marie Gormus, DNP, APRN, FNP-C

• Psychiatric/Mental Health Nurse Practitioner in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.