BECKY GOODSON (NPI# 1831492610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831492610 |
| Entity Type | Individual |
| Full Name | BECKY GOODSON |
| Practice Address |
1111 S Stapley Dr Ste 111 Mesa AZ 85204-5060 |
| Mailing Address |
2531 S Gilbert Rd Ste 111 Gilbert AZ 85295-5892 |
| Practice Telephone | 4803981220 |
| Practice Fax Number | 4803981230 |
| Mailing Telephone | 4803981220 |
| Mailing Fax Number | 4809834317 |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2016-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN137766 | AZ | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | AP3868 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1111 S STAPLEY DR STE 111 |
| City | MESA |
| State | AZ |
| Zip Code | 85204-5060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
| 1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
| 1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
| 1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
| 1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| 1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
| 1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
| 1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
| Find all providers in zip 85204 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632975 | Heidi Anne Parker | Nurse Practitioner | 2622 E Fountain St, Mesa, AZ 85213-5339 | 2020-02-28 |
| 1386295293 | Tracey D Emmons | Nurse Practitioner | 1654 S Lemon, Mesa, AZ 85206-3832 | 2019-09-23 |
| 1598314247 | Tawnya Grover | Nurse Practitioner | 6546 E Ingram St, Mesa, AZ 85205-3785 | 2019-09-05 |
| 1497309330 | Ashley Ross | Nurse Practitioner | 145 N 74th St, Mesa, AZ 85207-8327 | 2019-07-29 |
| 1417500901 | Katherine Elizabeth Benson | Nurse Practitioner | 3707 E Southern Ave # Floors12, Mesa, AZ 85206-2569 | 2019-07-23 |
| 1336700798 | Gwenda K Hatcher | Nurse Practitioner | 6242 E Arbor Ave Ste 123, Mesa, AZ 85206-1309 | 2019-06-26 |
| 1538725072 | Autumn Lemke | Nurse Practitioner | 2132 W Isthmus Loop, Mesa, AZ 85202-5518 | 2019-05-09 |
| 1265942395 | Janna Kay Stults | Nurse Practitioner | 2045 S Vineyard Ste 136, Mesa, AZ 85210-6891 | 2017-10-03 |
| 1285019596 | Shuang Krus | Nurse Practitioner | 2919 S Ellsworth Rd Ste 135, Mesa, AZ 85212-2168 | 2015-07-28 |
| 1619268190 | Dawn Lynn Williams | Nurse Practitioner | 4540 E Baseline Rd Suite 114, Mesa, AZ 85206 | 2011-05-02 |
| Find all providers in MESA | ||||
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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.