MS. CAMILLE GOFF (NPI# 1629175047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629175047 |
| Entity Type | Individual |
| Full Name | MS. CAMILLE GOFF |
| Credential | PNP |
| Practice Address |
1268 W South Jordan Pkwy Ste 201 South Jordan UT 84095-4653 |
| Mailing Address |
13873 S Horizon Hills Circle Herriman UT 84065 |
| Practice Telephone | 8012549700 |
| Practice Fax Number | 8012549755 |
| Mailing Telephone | 8015995458 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
500898-8900 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811953268 | Camille Bridget Goff | General Practice | 4801 Woodway #369w, Houston, TX 77056 | 2006-04-25 |
| Street Address |
1268 W SOUTH JORDAN PKWY STE 201 |
| City | SOUTH JORDAN |
| State | UT |
| Zip Code | 84095-4653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770688335 | Brian Pierce Good | Pediatrics | 1268 W South Jordan Pkwy Ste 201, South Jordan, UT 84095-4653 | 2006-09-14 |
| 1629489596 | Mitchell Alan Peterson | Pediatrics | 1268 W South Jordan Pkwy Ste 201, South Jordan, UT 84095-4653 | 2014-05-14 |
| 1093132110 | Lindsi Mccoard Roundy | Pediatrics | 1268 W South Jordan Pkwy Ste 201, South Jordan, UT 84095-4653 | 2014-03-26 |
| 1508158361 | Kody R Crowell | Pediatrics | 1268 W South Jordan Pkwy Ste 201, #201, South Jordan, UT 84095-4653 | 2011-05-11 |
| 1497850069 | Dallen K Ormond | Nurse Practitioner | 1268 W South Jordan Pkwy Ste 201, South Jordan, UT 84095-4653 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033745393 | Beverly Laraine Williams | Social Worker | 11260 S River Heights Drive, South Jordan, UT 84095 | 2020-03-19 |
| 1265902902 | Sarah Richele Kelley | Specialist/Technologist | 10236 Alder Grovey Way, South Jordan, UT 84095 | 2018-11-26 |
| 1326528837 | Kristi Couse | Massage Therapist | 10679 S 2200 W Apt 2, South Jordan, UT 84095 | 2018-08-15 |
| 1821516063 | River Crossing Dental Professional Corporation | Clinic/Center | 12427 South 4000 West, Suite #200, Riverton, UT 84095 | 2017-09-08 |
| 1245755719 | Staci Stout | Dental Hygienist | 3113 W Swiss Pass Cir, South Jordan, UT 84095 | 2017-08-07 |
| 1437698750 | Ryan Sears | Dentist | 10894 So. River Front Parkway, South Jordan, UT 84095 | 2017-02-20 |
| 1366989931 | Ultimate Sports Regenerative Medicine | Chiropractor | 1098 W. South Jordan Pkwy, Suite 101, South Jordan, UT 84095 | 2017-01-20 |
| 1306393889 | Tal Quirl | Optometrist | 3571 W. 10400 S., South Jordan, UT 84095 | 2016-09-01 |
| 1023562667 | Sevon Taroian | Social Worker | 11260 River Heights Drive, South Jordan, UT 84095 | 2016-08-11 |
| 1952762932 | Megan Buckley | Developmental Therapist | 881 Baxter Drive, Ste 100, South Jordan, UT 84095 | 2016-03-17 |
| Find all providers in zip 84095 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841707569 | Deeann Cervantez | Nurse Practitioner | 100 N Mario Capecchi Dr Ste 3550, Salt Lake City, UT 84113-1103 | 2018-01-03 |
| 1962949586 | Gina Whitehead | Nurse Practitioner | 10 South 2000 East, Salt Lake City, UT 84112 | 2017-01-20 |
| 1417402389 | Heather Crockett Oram | Nurse Practitioner | 41 E 1140 N, Suite B, Saratoga Springs, UT 84045-5459 | 2016-08-22 |
| 1720452782 | Jane Garff Gardiner | Nurse Practitioner | 347 N Quince St, Salt Lake City, UT 84103-1641 | 2015-11-13 |
| 1992171185 | Angela Curtis Page | Nurse Practitioner | 484 E 1250 S, Kaysville, UT 84037-4005 | 2015-08-11 |
| 1982025961 | Teresa Steele | Nurse Practitioner | 5063 S Cottonwood St Ste, 160, Murray, UT 84107 | 2013-12-18 |
| 1447505904 | Natalie Tollison | Nurse Practitioner | 1055 N 300 W Ste 300, Provo, UT 84604-3373 | 2012-07-19 |
| 1578820858 | Helen Kathleen Aoki | Nurse Practitioner | 9071 S 1300 W Fl 3, West Jordan, UT 84088-6672 | 2012-04-11 |
| 1356676035 | Cherie Marie Farnes | Nurse Practitioner | 1355 N University Ave Ste 210, Provo, UT 84604-2721 | 2009-10-13 |
| 1558505529 | Melissa Ann Neville-norton | Nurse Practitioner | 3875 Stadium Way # 3903 Weber State University, Ogden, UT 84408 | 2009-04-22 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH JORDAN |
| Zip Code | 84095 |
Please comment or provide details below to improve the information on MS. CAMILLE GOFF.
| 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.