MS. DIANE SUE GOODE


Address: 7195 Scarlet Oak Dr, Roanoke, VA 24019-2133
Phone: 5403664185

MS. DIANE SUE GOODE (NPI# 1720046246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720046246
Entity Type Individual
Full Name MS. DIANE SUE GOODE
Credential RNC, NNP
Practice Address 7195 Scarlet Oak Dr
Roanoke
VA 24019-2133
Practice Telephone 5403664185
Mailing Telephone 5403664185
Enumeration Date 2006-05-03
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LN0000X Nurse Practitioner
Specialization: Neonatal
0024038393 VA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 7195 SCARLET OAK DR
City ROANOKE
State VA
Zip Code 24019-2133

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Taxonomy Information

Taxonomy Code 363LN0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619924974 Cheryl Viar Allison Nurse Practitioner 101 Elm Ave., Roanoke, VA 24012 2006-05-30
1588142715 Karen Parks Nurse Practitioner 1906 Belleview Ave Se, Roanoke, VA 24014-1838 2018-07-31
1205380805 Ashley Nicole Whitlow Nurse Practitioner 1906 Belleview Ave Se, 14 South, Roanoke, VA 24014-1838 2016-08-11
1730500927 Anthesnia E. Wiley Nurse Practitioner 1906 Belleview Ave Se, Roanoke, VA 24014-1838 2013-12-15
1104105337 Christin Cooper Chaney Nurse Practitioner 1906 Belleview Ave Se, Roanoke, VA 24014-1838 2011-08-05
1780887315 Beverly Williams Joachim Nurse Practitioner 1328 2nd St Sw, Roanoke, VA 24016-4923 2007-06-10
1780808907 Donna Reves Russell Nurse Practitioner 101 Elm Ave Se, Carilion Roanoke Community - Nicu, 6th and 9th Floor, Roanoke, VA 24013-2222 2007-04-11
1417914698 Katrina Jill Howbert Nurse Practitioner 101 Elm Ave Se, Roanoke, VA 24013-2222 2006-04-29
1649237413 Nancy A. Ward Nurse Practitioner 101 Elm Ave Se, Roanoke, VA 24013-2222 2006-04-27
1871557058 Jackie Bratton Martin Nurse Practitioner 1906 Belleview Ave Se, Roanoke, VA 24014-1838 2006-04-14
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Competitor

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City ROANOKE
Zip Code 24019

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Dataset Information

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.

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