Active NPI
Grant David Goodlin, FNP
- Family Nurse Practitioner
- Oroville, CA
National Provider Identifier
1992364939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95011891
- Practice address
- 900 Oro Dam Blvd E
Oroville, CA 95965-5832 - Phone
- (530) 534-9183
- NPI assigned
- Jun 12, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95011891 | CA | Primary |
Addresses
Primary practice location
900 Oro Dam Blvd E
Oroville, CA 95965-5832
Mailing address
373 2ND St
Yuba City, CA 95991-5501
Phone (530) 713-1577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240709000119 | CA | Order and Referring Only - Nurse Practitioner | 3870995731 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 77.23 of 100
- Quality
- 36.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baby Buddies Birth Center | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/8237/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Birthing Clinic/Center
- Marysville, CA
- NPI 1700220407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560297600000",
"number": "1992364939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "373 2ND ST",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959915501",
"telephone_number": "530-713-1577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 ORO DAM BLVD E",
"city": "OROVILLE",
"state": "CA",
"postal_code": "959655832",
"telephone_number": "530-534-9183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODLIN",
"first_name": "GRANT",
"middle_name": "DAVID",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-12",
"last_updated": "2019-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95011891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oroville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.