PATRICIA GOEDEN (NPI# 1891786307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891786307 |
| Entity Type | Individual |
| Full Name | PATRICIA GOEDEN |
| Credential | PMH CNP |
| Practice Address |
1028 Walnut Lewis & Clark Bhs Yankton SD 57078 |
| Mailing Address |
1028 Walnut Yankton SD 57078 |
| Practice Telephone | 6056654606 |
| Practice Fax Number | 6056654673 |
| Mailing Telephone | 6056654606 |
| Mailing Fax Number | 6056654673 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 364SP0807X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Adolescent |
0362CNP | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SP0807X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Adolescent |
R023512RN | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1028 WALNUT LEWIS & CLARK BHS |
| City | YANKTON |
| State | SD |
| Zip Code | 57078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174506505 | Thomas S Stanage | Counselor | 1028 Walnut, Lewis & Clark Bhs, Yankton, SD 57078 | 2005-11-21 |
| 1750364113 | Alan Brevik | Psychiatry & Neurology | 1028 Walnut, Lewis & Clark Bhs, Yankton, SD 57078 | 2005-11-21 |
| 1376524116 | Kristen Taggart | Counselor | 1028 Walnut, Lewis & Clark Bhs, Yankton, SD 57078 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719661 | Jime Lynne Rivera | Psychiatry & Neurology | 708 E 21st Street, Yankton, SD 57078 | 2020-11-01 |
| 1043617210 | Kenneth Tomek | Dietitian, Registered | 2100 Broadway St, Yankton, SD 57078 | 2014-12-03 |
| 1932530276 | Jacqueline Ann Kelley | Nurse Practitioner | 1105 West 8th Street, Mount Marty College, Yankton, SD 57078 | 2013-12-12 |
| 1124363130 | Susan Kay Taecker | Occupational Therapist | 1502 Jo Ln, Yankton, SD 57078 | 2012-12-02 |
| 1295865178 | Dr Jon C Baumann Dds PC | Dentist | 809 Belfast Street, Yankton, SD 57078 | 2007-03-07 |
| 1306989090 | Gregory Scott Erickson | Internal Medicine | 501 Summit, Yankton, SD 57078 | 2007-02-14 |
| 1104976356 | Pine Lane Estates LLC | Assisted Living Facility | 2905 Douglas Ave, Yankton, SD 57078 | 2007-01-11 |
| 1518029917 | Teresa M Henrickson | Counselor | 904 W 23rd St Ste 101, Heartland Psychological Services, Yankton, SD 57078 | 2006-12-14 |
| 1396805016 | Joseph G Blackinton | Psychologist | Heartland Psychological Services, 904 W 23rd St Ste 101, Yankton, SD 57078 | 2006-12-11 |
| 1942383468 | Deborah Jean Kachena | Social Worker | 610 W 23rd Street, Yankton, SD 57078 | 2006-10-21 |
| Find all providers in zip 57078 | ||||
| Taxonomy Code | 364SP0807X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
Please comment or provide details below to improve the information on PATRICIA GOEDEN.
| 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.