DEBRA JO GOODALL (NPI# 1659553782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659553782 |
| Entity Type | Individual |
| Full Name | DEBRA JO GOODALL |
| Credential | N.P. |
| Practice Address |
1101 W University Dr Rochester MI 48307-1863 |
| Practice Telephone | 2486934212 |
| Mailing Telephone | 2486934212 |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2007-11-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
4704220755 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1101 W UNIVERSITY DR |
| City | ROCHESTER |
| State | MI |
| Zip Code | 48307-1863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811975097 | Katia Nakahodo | Emergency Medicine | 1101 W University Dr, Rochester, MI 48307-1863 | 2006-01-06 |
| 1770190837 | Elizabeth Poikey Luoma | Nurse Anesthetist, Certified Registered | 1101 W University Dr, Rochester, MI 48307-1863 | 2020-09-23 |
| 1578181038 | Kelash Rai | Student in an Organized Health Care Education/Training Program | 1101 W University Dr, Rochester, MI 48307-1863 | 2020-07-10 |
| 1700403441 | George-joseph Nahal | Student in an Organized Health Care Education/Training Program | 1101 W University Dr, Rochester, MI 48307-1863 | 2020-06-29 |
| 1225655079 | Vrushank Patel | Student in an Organized Health Care Education/Training Program | 1101 W University Dr, Rochester, MI 48307-1863 | 2020-06-27 |
| 1285250738 | Warda Zaidi | Student in an Organized Health Care Education/Training Program | 1101 W University Dr, Rochester, MI 48307-1863 | 2020-06-21 |
| 1427672245 | Hassan Ishaq | Student in an Organized Health Care Education/Training Program | 1101 W University Dr, Rochester, MI 48307-1863 | 2020-06-08 |
| 1083237085 | Inpatient Hospitalists and Internists, PC | Internal Medicine | 1101 W University Dr, Rochester, MI 48307-1863 | 2020-05-26 |
| 1306465794 | Joshua Gorney | Student in an Organized Health Care Education/Training Program | 1101 W University Dr, Rochester, MI 48307-1863 | 2020-04-15 |
| 1760001150 | Jacob Scott Gorney | Student in an Organized Health Care Education/Training Program | 1101 W University Dr, Rochester, MI 48307-1863 | 2020-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083238851 | Martin Dukaj | Student in an Organized Health Care Education/Training Program | 1101 Walton Blvd, Rochester Hills, MI 48307 | 2020-06-08 |
| 1073151973 | Cynthia Lynn Olekszyk | Dietitian, Registered | 645 Barclay Circle, Rochester Hills, MI 48307 | 2019-12-11 |
| 1326502428 | Jessica Delia | Nurse Practitioner | 1701 E South Boulevard, Suite 290, Rochester Hills, MI 48307 | 2019-01-23 |
| 1528530037 | Kelie Friday | Physical Therapist | 312 Rochester Hills, Dearborn, MI 48307 | 2018-12-21 |
| 1538635883 | Julie Latarewicz | Physical Therapist | Ascension Providence Rochester Hospital, 1101 West University Drive, Rochester, MI 48307 | 2018-10-15 |
| 1891270757 | Leah Marx | Social Worker | 3950 Rochester Rd, Ste 2250, Rochester Hills, MI 48307 | 2018-09-26 |
| 1598256729 | Frederick Alan Bittner | Student in an Organized Health Care Education/Training Program | 1101 W. University Drive, 3 North, Rochester, MI 48307 | 2018-05-23 |
| 1508356346 | Ankita Aggarwal | Student in an Organized Health Care Education/Training Program | Wsu/ascension Crittenton Hospital, 1101 W. University Drive, Rochester, MI 48307 | 2018-05-17 |
| 1619478195 | Michelle Nuccio | Occupational Therapist | 1555 E South Blvd, Rochester Hills, MI 48307 | 2018-02-21 |
| 1265932024 | Stacy Dietlin Linn | Physical Therapist | 1555 E. South Blvd, Suite 120, Rochester Hills, MI 48307 | 2018-02-19 |
| Find all providers in zip 48307 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508412503 | Julie Marie Giles | Nurse Practitioner | 1415 Portland Ave Ste 200, Rochester, NY 14621-3022 | 2019-08-15 |
| 1174019038 | Adedayo Temitope Dosumu | Nurse Practitioner | 816 50th Ave Nw, Rochester, MN 55901-6554 | 2018-07-03 |
| 1730540154 | Brigit Klement | Nurse Practitioner | 13 Alvin Pl, Rochester, NY 14607-3301 | 2016-03-12 |
| 1104045848 | Jennifer Elseta Reid | Nurse Practitioner | 396 Chestnut Ridge Rd, Rochester, NY 14624-4329 | 2007-04-24 |
| 1801807235 | Jackie Dee Stevens | Nurse Practitioner | 401 16th St Se Ste 100, Rochester, MN 55904-7974 | 2006-08-10 |
| 1568440303 | Jacquelyn Browning | Nurse Practitioner | 300 Meridian Centre, Suite 320 Evercare, Rochester, NY 14618 | 2006-01-03 |
| 1356337844 | Annette Palmieri Limbeck | Nurse Practitioner | 1437 Blossom Rd, Rochester, NY 14610-2211 | 2005-09-21 |
| 1427054261 | Nancy York Clar | Nurse Practitioner | 3156 East Ave, Rochester, NY 14618-3428 | 2005-06-27 |
| 1316596562 | Gertrude Nnebundo Orakwue | Nurse Practitioner | 1650 4th St Se, Rochester, MN 55904-4717 | 2019-09-10 |
| 1407321953 | Amy J Yates | Nurse Practitioner | 2655 Ridgeway Ave Ste 440, Rochester, NY 14626-4296 | 2018-10-11 |
| Find all providers in ROCHESTER | ||||
Please comment or provide details below to improve the information on DEBRA JO GOODALL.
| 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.