MRS. AMY LEE GOEDECKE (NPI# 1952776890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952776890 |
| Entity Type | Individual |
| Full Name | MRS. AMY LEE GOEDECKE |
| Credential | RN,MSN,FNP-C |
| Practice Address |
401 E Main St Whitesboro TX 76273-1805 |
| Practice Telephone | 9035647709 |
| Practice Fax Number | 9035647090 |
| Mailing Telephone | 9035647709 |
| Mailing Fax Number | 9035647090 |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2015-12-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
87252 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP129412 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
401 E MAIN ST |
| City | WHITESBORO |
| State | TX |
| Zip Code | 76273-1805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447655790 | A.l.l. Care Home Services Inc. | Home Health | 401 E Main St, Whitesboro, TX 76273-1805 | 2014-10-29 |
| 1497772289 | Pilot Point Home Health Inc. | Home Health | 401 E Main St, Whitesboro, TX 76273-1805 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881211746 | Integrity Medical Clinic LLC | Family Medicine | 109 Bois D'arc, Whitesboro, TX 76273 | 2020-06-26 |
| 1912489386 | Stephanie Marie Hellman | Occupational Therapy Assistant | 1204 Sherman Drive, Whitesboro, TX 76273 | 2018-09-03 |
| 1124330550 | Minah Kim Campbell | Dentist | 545 Hwy 377 North, Suite #103, Whitesboro, TX 76273 | 2010-07-14 |
| 1235459660 | Bynum Eye Care P A | Optometrist | 650 N. Hwy 377, Whitesboro, TX 76273 | 2010-06-08 |
| 1104065804 | Johnson Chiropractic Center | Chiropractor | 580 Hwy 377 N, Whitesboro, TX 76273 | 2009-02-19 |
| 1619037397 | Diversified Pharmacy Care | Pharmacist | 304 One Half Charlie Dr., Suite B, Whitesboro, TX 76273 | 2006-12-11 |
| 1518042332 | Alfred Leonard Jowitt | Family Medicine | 109 Bois D Arc, Whitesboro, TX 76273 | 2006-10-27 |
| 1871507863 | 1st Texas Home Health | Home Health | 2535 Highway 82 East Suite D, Whitesboro, TX 76273 | 2006-07-28 |
| 1003850264 | Dave Wayne Tuck | Chiropractor | 580 Hwy 377 N., Whitesboro, TX 76273 | 2006-06-16 |
| 1972553915 | Axtells Rite Value Pharmacy Inc | Pharmacist | 304 1/2 Charlie Dr., Whitesboro, TX 76273 | 2006-05-11 |
| Find all providers in zip 76273 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696873 | Llogan R. Yosten | Nurse Practitioner | 304 Charlie St, Whitesboro, TX 76273-1103 | 2020-10-13 |
| 1326534777 | Claudia Nicole Bailey | Nurse Practitioner | 37 Main St, Whitesboro, NY 13492-1034 | 2018-07-09 |
| 1447680194 | Cristin Kirkland | Nurse Practitioner | 37 Main St, Whitesboro, NY 13492-1034 | 2013-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
| 1891396586 | Stacey Lynne Ready | Nurse Practitioner | 200 Uptmore Rd, West, TX 76691-2339 | 2020-11-08 |
| 1992306609 | Jillian Mcclintock | Nurse Practitioner | 2506 Graystone Ln, Corinth, TX 76210-1607 | 2020-11-08 |
| 1851992515 | Stacie A Gregg | Nurse Practitioner | 1229 Johnny Ln, San Angelo, TX 76905-2331 | 2020-11-07 |
| 1285235929 | Activate Family Health, Pllc | Nurse Practitioner | 203 E Davis St Ste F-1026, Conroe, TX 77301-3159 | 2020-11-07 |
| 1629679782 | Kristen Aili Johnson | Nurse Practitioner | 3850 Fm 18, Abilene, TX 79602-2004 | 2020-11-05 |
| 1376144303 | Stephanie Renee Knight | Nurse Practitioner | 4326 Egret Dr, Seabrook, TX 77586-2557 | 2020-11-05 |
| 1457952319 | Olufunke Oyindamola Oshoba | Nurse Practitioner | 200 Odyssey Ln, Mansfield, TX 76063-3438 | 2020-11-05 |
| 1518568419 | Ian Mardis | Nurse Practitioner | 12528 Tierra Encino Dr, El Paso, TX 79938-4525 | 2020-11-05 |
| 1851992994 | Angela Davis | Nurse Practitioner | 9523 Scanlan Heights Ln, Missouri City, TX 77459-5503 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
| City | WHITESBORO |
| Zip Code | 76273 |
Please comment or provide details below to improve the information on MRS. AMY LEE GOEDECKE.
| 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.