NPIMap

Organization Active NPI

Appalachian State University

  • Student Health Clinic/Center
  • Boone, NC
National Provider Identifier
1881730612
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
900081 Issued in NC
Legal business name
APPALACHIAN STATE UNIVERSITY
Practice address
Appalachian State University
Student Health Services
Boone, NC 28608-0001
Phone
(828) 262-3100
Fax
(828) 262-6262
NPI assigned
Jan 29, 2007
Last updated
Jan 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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

Authorized official

Name
Ms. Karen Winston Goodman, ANPNPI 1215377007
Title
Physician Extender
Phone
(828) 262-3100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X 900081 NC Primary

Addresses

Primary practice location

Appalachian State University
Student Health Services
Boone, NC 28608-0001

Mailing address

1351 N Pine Run Rd
Boone, NC 28607-6778
Phone (828) 265-8503

Other names 1

  • Student Health Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive Clinic8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

Appalachian State University
Boone, NC 28608
Phone (828) 262-3100

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1881730612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 N PINE RUN RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286076778",
            "telephone_number": "828-265-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "APPALACHIAN STATE UNIVERSITY",
            "address_2": "STUDENT HEALTH SERVICES",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286080001",
            "telephone_number": "828-262-3100",
            "fax_number": "828-262-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "WINSTON",
        "authorized_official_title_or_position": "PHYSICIAN EXTENDER",
        "authorized_official_telephone_number": "828-262-3100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ANP"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NC",
            "license": "900081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Student Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.