Autumn Gode, CNS

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

R1532768 Issued in MN

Practice address

800 E 28TH St
Minneapolis, MN 55407-3723

Phone

(612) 863-3688

NPI assigned

Jan 20, 2013

Last updated

Jan 20, 2013By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist

State licenses

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

{
    "created_epoch": "1358640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358640000000",
    "number": "1881932267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 FRANKLIN HILLS RD",
            "city": "INDEPENDENCE",
            "state": "MN",
            "postal_code": "553599424",
            "telephone_number": "612-723-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 28TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073723",
            "telephone_number": "612-863-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODE",
        "first_name": "AUTUMN",
        "credential": "CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-20",
        "last_updated": "2013-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "MN",
            "license": "R1532768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia Marie Goblirsch
• Madelyn Jo Goblirsch, PA-C
• Lucas Gockel, MSW LICSW
• Susan J Goddard, DO
• Goddess Electrolysis LLC
• Douglas Alan Godfrey, MD
• Marcella Ann Godfrey, LGSW
• Elizabeth Marquis Godin, MD
• Alma Jennifer Godinez Modesto
• Ann Goding

• Adult Health Clinical Nurse Specialist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Adult Health Clinical Nurse Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2013; 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.