TERESA DIANE GOODNER (NPI# 1841812260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841812260 |
| Entity Type | Individual |
| Full Name | TERESA DIANE GOODNER |
| Credential | FNP |
| Practice Address |
10217 S Walnut Canyon Ln South Jordan UT 84009-7141 |
| Practice Telephone | 8016518014 |
| Mailing Telephone | 8016518014 |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-05-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
7041186-3102 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10217 S WALNUT CANYON LN |
| City | SOUTH JORDAN |
| State | UT |
| Zip Code | 84009-7141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104347061 | Pony Express Dental Daybreak, LLC | Clinic/Center | 5396 W Daybreak Parkway, South Jordan, UT 84009 | 2017-06-30 |
| 1831630763 | Tina Patel | Dentist | 11501 S 4000 W Ste 101, South Jordan, UT 84009 | 2017-03-10 |
| 1811396260 | Out of This World Dentistry Sj PC | Dentist | 10426 S. 4000 W., South Jordan, UT 84009 | 2014-08-21 |
| 1184970956 | Robert Owyn Lindquist IIi | Social Worker | 10609 S. Granby Way, South Jordan, UT 84009 | 2012-07-31 |
| 1013138254 | Kelly Kristen Adams | Pediatrics | 4686 W Crosswater Road, South Jordon, UT 84009 | 2007-05-02 |
| 1760081061 | Someone To Talk To | Psychologist | 10352 S Sturgeon Dr, South Jordan, UT 84009-1218 | 2020-10-19 |
| 1699317685 | Daybreak Pdc Pllc | Dentist | 4040 West Daybreak Pkwy, Suite 103, South Jordan, UT 84009-1286 | 2019-10-11 |
| 1518414911 | Charli Danielle Peters | Nurse Practitioner | 9636 S Skye Park Rd, South Jordan, UT 84009-1506 | 2016-09-02 |
| 1760933832 | Naomi Mackert | Massage Therapist | 4988 W Wood Ranch Dr, South Jordan, UT 84009-1532 | 2016-10-24 |
| 1396285425 | Preston Howard Catmull | Physical Therapist | 9988 S Hook Dr, South Jordan, UT 84009-2786 | 2017-03-08 |
| Find all providers in zip 84009 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617404 | Michaelle Lei Spears | Nurse Practitioner | 922 W Baxter Dr, South Jordan, UT 84095-8613 | 2020-10-18 |
| 1518585025 | Courtney Marie Gormus | Nurse Practitioner | 4616 W Pale Moon Ln, South Jordan, UT 84009-5036 | 2020-07-10 |
| 1326692476 | Megan Jane Christensen | Nurse Practitioner | 10848 S Fern Ridge Dr, South Jordan, UT 84009-7764 | 2019-07-26 |
| 1700348497 | Julian Leonie Bassaragh | Nurse Practitioner | 9624 S Royalty Ln, South Jordan, UT 84095-3449 | 2019-04-02 |
| 1316426059 | Tawni Marie Aleman | Nurse Practitioner | 11732 S Tallac Dr, South Jordan, UT 84095-1215 | 2018-08-13 |
| 1508383175 | Cynthia Ann Whiting | Nurse Practitioner | 10433 S Redwood Rd Ste B, South Jordan, UT 84095-8502 | 2017-08-24 |
| 1437670114 | Andrea Jackson | Nurse Practitioner | 406 W S Jordan Pkwy, South Jordan, UT 84095-3965 | 2017-07-03 |
| 1124548789 | Tamara Lynn Broadhead | Nurse Practitioner | 10294 S Royal Vista Cv, South Jordan, UT 84095-3045 | 2017-06-26 |
| 1437574373 | Lee Hamilton | Nurse Practitioner | 9728 S 1650 W, South Jordan, UT 84095-9347 | 2014-03-01 |
| 1992082556 | Sarah Jackson | Nurse Practitioner | 406 W South Jordan Pkwy Ste 500, South Jordan, UT 84095-3945 | 2011-11-10 |
| Find all providers in SOUTH JORDAN | ||||
| City | SOUTH JORDAN |
| Zip Code | 84009 |
Please comment or provide details below to improve the information on TERESA DIANE GOODNER.
| 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.