Goodway Health Services LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

2004024626 Issued in MO

Legal business name

GOODWAY HEALTH SERVICES LLC

Practice address

9900 N Willow Ave
Kansas City, MO 64157-1045

Phone

(816) 781-6655

Fax

(816) 781-0600

NPI assigned

Sep 26, 2012

Last updated

Sep 26, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Victoria M Haynes, APRN

Title

President

Phone

(816) 781-6655

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1992056295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5468 NE WEDGEWOOD LN",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641222",
            "telephone_number": "816-781-6655",
            "fax_number": "816-781-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 N WILLOW AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641571045",
            "telephone_number": "816-781-6655",
            "fax_number": "816-781-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWAY HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-781-6655",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MO",
            "license": "2004024626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy L Goodlet, RD, RDN, LD
• Leslie N Goodloe, AGNP-C
• Adam Mitchell Goodreau, M.D.
• Wesley Goodrich, DO, MPH
• Da'Lesa Goodspeed, LCSW
• Goodwill of Western Missouri and Eastern Kansas
• Amy Goodwin, MSN, APRN, CPNP-PC
• Deborah Carol Goodwin, NP-C
• Emily Jane Goodwin, M.D.
• Jayci Goodwin, PA-C

• Primary Care Nurse Practitioner in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Primary Care Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.