Jennifer Darlene Gooch, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00011421 Issued in WA

Practice address

8131 W Klamath CT
Suite H
Kennewick, WA 99336-5099

Phone

(509) 736-5456

Fax

(509) 735-9868

NPI assigned

Oct 5, 2010

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1902115157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 W 12TH AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993373311",
            "telephone_number": "509-947-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8131 W KLAMATH CT",
            "address_2": "SUITE H",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365099",
            "telephone_number": "509-736-5456",
            "fax_number": "509-735-9868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Swift Blvd Ste 20",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993523521",
            "country_code": "US",
            "telephone_number": "509-947-1936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOOCH",
        "first_name": "JENNIFER",
        "middle_name": "DARLENE",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-05",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00011421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Anne Gonzalez, RN
• Janeth Gonzalez, LMP
• Nestor A Gonzalez, MD
• Silvia Esmeralda Gonzalez, MC56506
• Zoe Nicole Gonzalez
• Melissa L Good, STATE CERTIFIED BIRT
• Deeann Goodrich
• Goodwill Industries of the Columbia, Inc.
• Malvina Ann Goodwin, RD CD
• Nancy L Goodwin, PAC

• Massage Therapist in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.