Organization Active NPI

Good Will Institute for Health Services Inc

  • Family Nurse Practitioner
  • Slidell, LA
National Provider Identifier
1972511871
Registry record updated Aug 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP06547 Issued in LA
Legal business name
GOOD WILL INSTITUTE FOR HEALTH SERVICES INC
Doing business as
Good Will Institute for Health Services Inc.
Practice address
304 W Honors Point CT
Slidell, LA 70458-5774
Phone
(504) 606-6075
Fax
(985) 781-8065
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2011

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

Authorized official

Name
Jennie W Robinson, APRN, NP-CNPI 1770871204
Title
Administrator
Phone
(504) 606-6075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X AP06547 LA Primary

Addresses

Primary practice location

304 W Honors Point CT
Slidell, LA 70458-5774

Mailing address

304 W Honors Point CT
Slidell, LA 70458-5774
Phone (504) 606-6075

Other identifiers 1

IdentifierTypeStateIssuer
1581046MedicaidLA

Other names 1

  • Good Will Institute for Health Services Inc. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314489600000",
    "number": "1972511871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W HONORS POINT CT",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704585774",
            "telephone_number": "504-606-6075",
            "fax_number": "985-781-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W HONORS POINT CT",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704585774",
            "telephone_number": "504-606-6075",
            "fax_number": "985-781-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD WILL INSTITUTE FOR HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2011-08-28",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "504-606-6075",
        "authorized_official_credential": "APRN, NP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1581046",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Will Institute for Health Services Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2011; 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.