ELLIOT GOOD


Address: 6897 Paiute Ave, Niwot, CO 80503-7182
Phone: 3036524196

ELLIOT GOOD (NPI# 1134540149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134540149
Entity Type Individual
Full Name ELLIOT GOOD
Other Name LAURA SHEPHERD
Credential NP
Practice Address 6897 Paiute Ave
Niwot
CO 80503-7182
Mailing Address 6897 Paiute Ave Ste 5
Niwot
CO 80503-7169
Practice Telephone 3036524196
Mailing Telephone 3036524196
Mailing Fax Number 3036524007
Enumeration Date 2013-12-17
Last Update Date 2020-04-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN0186551 CO Nursing Service Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
APN.0991082-NP CO Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
APN.0991082-NP CO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6897 PAIUTE AVE
City NIWOT
State CO
Zip Code 80503-7182

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City NIWOT
Zip Code 80503

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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