Individual provider Active NPI

Mary Ellen Goodner, FNP

  • General Practice Registered Nurse
  • Franklin, TN
National Provider Identifier
1902988769
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
118705 Issued in TN
Practice address
1324 W Main St
Franklin, TN 37064-3784
Phone
(615) 794-1542
Fax
(615) 790-5967
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 118705 TN Primary

Addresses

Primary practice location

1324 W Main St
Franklin, TN 37064-3784

Mailing address

710 Hart LN
Nashville, TN 37247-0802
Phone (615) 650-7037

Other identifiers 2

IdentifierTypeStateIssuer
118705OtherTNRN LICENSE
7751OtherTNAPN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7751TNMDClinical Social Worker
118705TNMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
J. Chris Beckman MD PLLC Past Accepting new patients
Tennessee Urgent Care Associates, LLC Past Accepting new patients
Rishi K Saxena MD PC PastSince Jun 28, 1999 Accepting new patients

Organizations & group practices 3

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902988769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 HART LN",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372470802",
            "telephone_number": "615-650-7037",
            "fax_number": "615-262-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 W MAIN ST",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370643784",
            "telephone_number": "615-794-1542",
            "fax_number": "615-790-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODNER",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "TN",
            "license": "118705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "118705",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN LICENSE",
            "identifier": "7751",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.