AMANDA LEE GODDARD (NPI# 1467558833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467558833 |
Entity Type | Individual |
Full Name | AMANDA LEE GODDARD |
Other Name | AMANDA LEE THOMAS |
Credential | RN, APRN |
Practice Address |
1336 W A St Ste B Lincoln NE 68522-1231 |
Mailing Address |
8201 Northwoods Dr Lincoln NE 68505-3092 |
Practice Telephone | 4024655600 |
Practice Fax Number | 4023276074 |
Mailing Telephone | 4024655600 |
Mailing Fax Number | 4023276074 |
Enumeration Date | 2006-09-15 |
Last Update Date | 2017-03-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
110662 | NE | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | 47079049112 | 05 | |
NE | 10025151600 | 05 | |
NE | 10026369300 | 05 | |
NE | 47079049100 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487810099 | Amanda Kay Goddard | Occupational Therapist | 875 Gray Rd, Ward, AR 72176-9613 | 2008-08-03 |
1699959163 | Amanda Goddard | Pediatrics | 887 Congress St Ste 100, Portland, ME 04102-3100 | 2007-12-19 |
1245878107 | Amanda N Goddard | Registered Nurse | 44035 Riverside Pkwy Ste 300, Leesburg, VA 20176-8260 | 2019-12-11 |
1356570576 | Amanda R Goddard | Physician Assistant | 3808 S Greystone Ct, Springfield, MO 65804-6561 | 2009-07-09 |
Street Address |
1336 W A ST STE B |
City | LINCOLN |
State | NE |
Zip Code | 68522-1231 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205182987 | Sarah Evans | Psychologist | 1336 W A St Ste B, Lincoln, NE 68522-1231 | 2012-07-31 |
1083935522 | Luke Fletcher Anschutz | Pediatrics | 1336 W A St Ste B, Lincoln, NE 68522-1231 | 2010-06-18 |
1730413402 | Sahra Niazi | Pediatrics | 1336 W A St Ste B, Lincoln, NE 68522-1231 | 2009-09-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356867535 | Claire Marie Retka | Speech-Language Pathologist | 2323 S Coddington Ave., Lincoln, NE 68522 | 2017-08-18 |
1558745851 | Joelle Marie Vogltance | Nurse Practitioner | 600 West E. Street, Lincoln, NE 68522 | 2015-07-16 |
1205264231 | Coddington Medical Family Practice | Clinic/Center | 1336 West A Street, Suite A, Lincoln, NE 68522 | 2013-10-30 |
1376686303 | Rajeev Chaturvedi | Psychiatry & Neurology | West Prospector Place & South Folsom Streets, Dhhs, Lincoln, NE 68522 | 2007-02-15 |
1982606703 | Louise Stanton Stone | Counselor | Folson & W Prospector Streets, Lincoln, NE 68522 | 2005-08-11 |
1619526894 | Resilient Mind Counseling | Clinic/Center | 2554 Sw 19th St, Lincoln, NE 68522 | 2019-09-10 |
1437688868 | Echo L Kopplin | Physician Assistant | 1336 W A St, Lincoln, NE 68522 | 2017-06-08 |
1043400807 | Developmental Services of Nebraska, Inc. | Community/Behavioral Health | 2610 W M Ct, Lincoln, NE 68522-1006 | 2007-07-27 |
1689044802 | Tiffany Eisenbraun | Counselor | 2610 W M Ct, Lincoln, NE 68522-1006 | 2015-09-30 |
1003987736 | Michele Yvonne Wilson | Counselor | 2210 W Laguna Rd, Lincoln, NE 68522-1153 | 2006-11-13 |
Find all providers in zip 68522 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689631343 | Kristi L Aldridge | Nurse Practitioner | 6041 Village Dr Ste 150, Lincoln, NE 68516-5774 | 2006-04-27 |
1619971678 | Jamie Renee Draper | Nurse Practitioner | 8201 Northwoods Dr, Lincoln, NE 68505-3092 | 2005-06-08 |
1811595432 | Natasha Hedden | Nurse Practitioner | 4501 S 70th St, Lincoln, NE 68516-4282 | 2020-10-15 |
1548812647 | Ashley Smith | Nurse Practitioner | 4501 S 70th St Ste 110, Lincoln, NE 68516-4276 | 2019-07-10 |
1912484007 | Mikala Marie Geisert | Nurse Practitioner | 4501 S 70th St Ste 110, Lincoln, NE 68516-4276 | 2018-07-23 |
1316445026 | Anna Baumann | Nurse Practitioner | 6 Blackstone Valley Pl Ste 306b, Lincoln, RI 02865-1112 | 2018-01-28 |
1487033171 | Kelly Murry | Nurse Practitioner | 6041 Village Dr, Suite 150, Lincoln, NE 68516-6619 | 2015-05-27 |
1174965974 | Kathleen B Hughes | Nurse Practitioner | 1 Commerce St Ste 100, Lincoln, RI 02865-1186 | 2013-07-22 |
1477994812 | Kirsten Marie Loch | Nurse Practitioner | 4230 Pioneer Woods Dr, Suite B, Lincoln, NE 68506-7565 | 2013-07-15 |
1750473302 | Kimberly Kay Dierks | Nurse Practitioner | 6041 Village Dr Ste 150, Lincoln, NE 68516-5774 | 2006-09-29 |
Find all providers in LINCOLN |
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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.