Individual provider Active NPI

Julie Anne Good, STNA

  • Nurse's Aide
  • Holland, OH
National Provider Identifier
1942063060
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
401724360215 Issued in OH
Practice address
757 E Shoreline Dr
Holland, OH 43528-9355
Phone
(419) 266-9612
NPI assigned
Feb 1, 2024
Last updated
Feb 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 401724360215 OH Primary

Addresses

Primary practice location

757 E Shoreline Dr
Holland, OH 43528-9355

Mailing address

5290 Isch Rd
Walbridge, OH 43465-9711
Phone (419) 266-9612

Other practice location 1

5290 Isch Rd
Walbridge, OH 43465-9711
Phone (419) 266-9612

Other names 1

  • Julie Anne Unsworth Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
401724360215OHMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1942063060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5290 ISCH RD",
            "city": "WALBRIDGE",
            "state": "OH",
            "postal_code": "434659711",
            "telephone_number": "419-266-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 E SHORELINE DR",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435289355",
            "telephone_number": "419-266-9612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5290 Isch Rd",
            "address_purpose": "LOCATION",
            "city": "Walbridge",
            "state": "OH",
            "postal_code": "434659711",
            "country_code": "US",
            "telephone_number": "419-266-9612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOOD",
        "first_name": "JULIE",
        "middle_name": "ANNE",
        "credential": "STNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "401724360215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "UNSWORTH",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.