Individual provider Active NPI

Jaclyn Goins, CNP

  • Family Nurse Practitioner
  • Lima, OH
National Provider Identifier
1881116416
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.019868 Issued in OH
Practice address
825 S Cable Rd Ste a
Lima, OH 45805-3467
Phone
(419) 224-1234
NPI assigned
Jul 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.019868 OH Primary

Addresses

Primary practice location

825 S Cable Rd Ste a
Lima, OH 45805-3467

Mailing address

825 S Cable Rd
Lima, OH 45805-3400
Phone (419) 224-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20170911002114 OH Practitioner - Nurse Practitioner 6608149810 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.019868OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Leahy Family Care Inc CurrentSince Aug 25, 2017 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

825 S Cable Rd
Ste A
Lima, OH 45805
Phone (419) 224-1234

Organizations & group practices 2

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": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1881116416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 S CABLE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458053400",
            "telephone_number": "419-224-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 S CABLE RD STE A",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458053467",
            "telephone_number": "419-224-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOINS",
        "first_name": "JACLYN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-14",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.019868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.