JADE RHIANNON GOEN (NPI# 1831757764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831757764 |
| Entity Type | Individual |
| Full Name | JADE RHIANNON GOEN |
| Practice Address |
7501 Quaker Ave Lubbock TX 79424-3367 |
| Mailing Address |
5219 City Bank Pkwy Ste 35 Lubbock TX 79407-3545 |
| Practice Telephone | 8067883306 |
| Practice Fax Number | 8067223861 |
| Mailing Telephone | 8067610333 |
| Mailing Fax Number | 8067820097 |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA13044 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7501 QUAKER AVE |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79424-3367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396748554 | Stephen G Dalton | Family Medicine | 7501 Quaker Ave, Lubbock, TX 79424-3367 | 2005-05-23 |
| 1902416597 | Sarah Ashely Cuneo | Nurse Practitioner | 7501 Quaker Ave, Lubbock, TX 79424-3367 | 2020-08-07 |
| 1275040776 | Samantha Dawn Gooss | Nurse Practitioner | 7501 Quaker Ave, Lubbock, TX 79424 | 2018-01-05 |
| 1366953374 | Justin Mark Hafner | Nurse Practitioner | 7501 Quaker Ave, Lubbock, TX 79424-3367 | 2017-10-17 |
| 1275052631 | Fania Maria Nicolas | Nurse Practitioner | 7501 Quaker Ave, Lubbock, TX 79424-3367 | 2017-09-15 |
| 1851814057 | Andie E Maldonado | Physician Assistant | 7501 Quaker Ave, Lubbock, TX 79424-3367 | 2017-07-19 |
| 1326419748 | Shaun Mantooth | Physician Assistant | 7501 Quaker Ave, Lubbock, TX 79424-3367 | 2015-10-12 |
| 1285062521 | Jennifer Galey | Nurse Practitioner | 7501 Quaker Ave, Lubbock, TX 79424 | 2013-10-24 |
| 1467890822 | Benjamin Matthew Wolcott | Pediatrics | 7501 Quaker Ave, Lubbock, TX 79424-3367 | 2013-06-07 |
| 1386988731 | Hannah Rebong | Nurse Practitioner | 7501 Quaker Ave, Lubbock, TX 79424-3367 | 2012-11-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158121 | West Texas H.a.n.d. Pllc | Surgery | 5613 114th St, Lubbock, TX 79424 | 2020-09-09 |
| 1811519044 | H-e-b, Lp | Clinical Medical Laboratory | 4405 114th Street, Lubbock, TX 79424 | 2020-05-11 |
| 1184245573 | Jim Lee Lowrance | Chiropractor | 5152 69th Suite 101, Suite 101 Box #2, Lubbock, TX 79424 | 2020-04-27 |
| 1134787377 | April Denise Gardea | Speech-Language Pathologist | 6502 Slide Road Suite 204, Lubbock, TX 79424 | 2019-06-03 |
| 1215590658 | April Dawn Fortner | Counselor | 7617 86th St., Lubbock, TX 79424 | 2019-04-22 |
| 1427514561 | Thornhill Healthcare II, Inc. | Pharmacy | 6823 82nd St, Suite 600, Lubbock, TX 79424 | 2019-02-13 |
| 1174001358 | Emily Cowell | Technician, Other | 6102 82nd St Ste 10, Lubbock, TX 79424 | 2018-07-31 |
| 1043718786 | Edward Murphy | Pharmacist | 8702 Toledo Ave, Lubbock, TX 79424 | 2018-01-29 |
| 1013434364 | Yung Ling Tsai | Specialist/Technologist | 4707 116th Street, Lubbock, TX 79424 | 2017-08-28 |
| 1285187237 | Wter Quaker, Lp | Clinic/Center | 10205 Quaker Ave, Lubbock, TX 79424 | 2016-07-26 |
| Find all providers in zip 79424 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316294408 | Ronald Caporale | Physician Assistant | 1701 50th Street, Lubbock, TX 79412 | 2012-08-08 |
| 1699002675 | Jamie Fletcher | Physician Assistant | 5415 114th St, Lubbock, TX 79424 | 2009-11-11 |
| 1710160700 | Jessica Ferguson | Physician Assistant | 3606 21st St Ste 200, Lubbock, TX 79410-1225 | 2007-12-12 |
| 1104958560 | Janice Hallford Lampe | Physician Assistant | 6048 Marsha Sharp Fwy, Lubbock, TX 79407-3726 | 2007-03-12 |
| 1699819953 | Holly Jen Tyson | Physician Assistant | 3811 24th St, Lubbock, TX 79410-1813 | 2007-02-19 |
| 1154496974 | Kathleen Jo Marcum | Physician Assistant | 3801 21st St, Suite 200, Lubbock, TX 79410-1006 | 2006-11-21 |
| 1336252220 | Gustavo Alonso Bendeck | Physician Assistant | 4010 22nd St, Lubbock, TX 79410-1116 | 2006-08-16 |
| 1316903875 | Kristina Lee | Physician Assistant | 3904 101st St, Lubbock, TX 79423-5725 | 2006-04-25 |
| 1467416636 | David Anthony King | Physician Assistant | 3514 21st Street, Lubbock, TX 79410 | 2006-04-14 |
| 1346246634 | Phyllis Rose Peterson | Physician Assistant | Ttuhsc Dept of Psychiatry, 3601 4th St., Ms 8103, Lubbock, TX 79430-8103 | 2005-06-22 |
| Find all providers in LUBBOCK | ||||
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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.