JESSICA GOETH (NPI# 1629412309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629412309 |
| Entity Type | Individual |
| Full Name | JESSICA GOETH |
| Credential | FNP-BC, MSN |
| Practice Address |
4995 Highland Rd Waterford MI 48328-1143 |
| Mailing Address |
58048 Colchester Rd Washington MI 48094-3607 |
| Practice Telephone | 6638927278 |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2020-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704259327 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4995 HIGHLAND RD |
| City | WATERFORD |
| State | MI |
| Zip Code | 48328-1143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629088802 | Goranka Anne Vucenovic | Nurse Practitioner | 4995 Highland Rd, Waterford, MI 48328-1143 | 2006-08-09 |
| 1134750748 | Kevin Robert Wilson | Pharmacist | 4995 Highland Rd, Waterford, MI 48328-1143 | 2020-02-01 |
| 1174154769 | Abhijit Vitthal Purohit | Pharmacist | 4995 Highland Rd, Waterford, MI 48328-1143 | 2020-02-01 |
| 1790316354 | Dyana Kotani | Pharmacist | 4995 Highland Rd, Waterford, MI 48328-1143 | 2020-01-31 |
| 1053942037 | Tony Hung | Pharmacist | 4995 Highland Rd, Waterford, MI 48328-1143 | 2020-01-29 |
| 1194141457 | Margaret Eugenia Haglund | Registered Nurse | 4995 Highland Rd, Waterford, MI 48328-1143 | 2014-03-11 |
| 1487749578 | Denise J Neubauer | Nurse Practitioner | 4995 Highland Rd, Waterford, MI 48328-1143 | 2006-10-04 |
| 1881706711 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 4995 Highland Rd, Waterford, MI 48328-1143 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184125 | Lillian Atty | Pharmacist | 1484 Rivona Dr, Waterford, MI 48328 | 2020-01-31 |
| 1437631850 | Rana Ismail | Pharmacist | 3273 West Huron St, Waterford, MI 48328 | 2018-09-01 |
| 1588181978 | India Dunlap | Social Worker | 279 Summit Dr., Waterford, MI 48328 | 2017-08-25 |
| 1689191280 | Sydney Strandberg | Social Worker | 1145 Parkway, Waterford, MI 48328 | 2017-08-24 |
| 1467982074 | Briana Greenlee | Dietitian, Registered | 3819 Faber Terrace, Waterford, MI 48328 | 2017-06-15 |
| 1922537364 | Lourdes Alzheimer's Special Care | Custodial Care Facility | 2400 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1013446459 | Lourdes Assisted Living | Assisted Living Facility | 2450 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1588019053 | Legacy Dermatology Group PC | Dermatology | 1392 S Cass Lake Rd, Waterford, MI 48328 | 2016-05-03 |
| 1932567989 | Devenia Denise Clayter | Counselor | 255 Summit Dr, Waterford, MI 48328 | 2016-02-05 |
| 1922409739 | Stacey Diggs | Counselor | 250 Elizabeth Lake Road, Biomed Behavorial Healthcare, Waterford, MI 48328 | 2014-09-11 |
| Find all providers in zip 48328 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427675214 | Dayna Niewolak | Nurse Practitioner | 3034 Harbor Ct, Waterford, MI 48328-2593 | 2020-06-29 |
| 1184273179 | Cathy Jo Duchow-cross | Nurse Practitioner | 7914 Foxwater Blvd, Waterford, WI 53185-1882 | 2019-09-11 |
| 1972164366 | Richard Barrie Dalrymple | Nurse Practitioner | 3249 Golfhill Dr, Waterford, MI 48329-4520 | 2019-06-26 |
| 1396301685 | Katelyn Peticca Hawley | Nurse Practitioner | 3525 Karen Pkwy Apt 204, Waterford, MI 48328-4609 | 2019-05-13 |
| 1427552587 | Kailey Allison Temple | Nurse Practitioner | 3901 Highland Rd Ste D, Waterford, MI 48328-2162 | 2018-03-22 |
| 1043696867 | Janetlynne Erickson | Nurse Practitioner | 194 Riviera Ter, Waterford, MI 48328-3465 | 2015-08-04 |
| 1114251360 | Mary Beth Martin | Nurse Practitioner | 260 Hudson River Rd, Waterford, NY 12188-1910 | 2009-09-21 |
| 1629088802 | Goranka Anne Vucenovic | Nurse Practitioner | 4995 Highland Rd, Waterford, MI 48328-1143 | 2006-08-09 |
| 1023013430 | Vickie Lea Deleruyelle | Nurse Practitioner | 151 Anderson Ln, Waterford, OH 45786-5312 | 2005-06-14 |
| 1598244246 | Shera Carolyn Ivy Thompson | Nurse Practitioner | 2446 Elizabeth Lake Rd, Waterford, MI 48328-3310 | 2018-08-13 |
| Find all providers in WATERFORD | ||||
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| 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.