Jonathan Patrick Goguen, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN283306 Issued in MA

Practice address

87 N. Main St
Leominster, MA 01453

Phone

(978) 534-8701

Fax

(978) 534-8705

NPI assigned

May 3, 2012

Sex

Male

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HAJFCA

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.

• Family Medical & Maternity Care PC

  • Family Medicine Physician
  • Leominster, MA
  • NPI 1922170216
  Medicare reassignment NPD

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1932467453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 N. MAIN ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "01453",
            "telephone_number": "978-534-8701",
            "fax_number": "978-534-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 N. MAIN ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "01453",
            "telephone_number": "978-534-8701",
            "fax_number": "978-534-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOGUEN",
        "first_name": "JONATHAN",
        "middle_name": "PATRICK",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-03",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN283306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Marie Gleason, FNP-BC
• Richard Glenn
• Sara Jean Glidden
• Global Dynamics Lifecare
• Ashley Jennifer Goddard, NP
• Sandra Elaine Goguen, MS
• Liv Rachelle Gold, PT, DPT
• Susan Lee Goldman-Kreithen, PHD, CCC-SLP
• Jeisa Yomary Gomez Torres, M.D.
• Rosita E Gonzalez, LMHC

• Family Nurse Practitioner in Leominster, MA
• Providers in Leominster, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.