GREGORY G GOODMAN FNP
NPI 1215046768
Nurse Practitioner in Saint Joseph, MO

Active since August 29, 2006
5325 FARAON ST, SAINT JOSEPH, MO 64506(816) 271-7986(816) 271-7986 Get Directions Write a Review

NPPES record last updated: October 13, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gregory G Goodman Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREGORY G GOODMAN FNP (NPI 1215046768) is an individual nurse practitioner in Saint Joseph, Missouri, licensed in Missouri (095469) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1215046768
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameGREGORY G GOODMANCredential: FNP
Location Address5325 FARAON STSaint Joseph, MO 64506-3488
Mailing Address5325 Faraon StSaint Joseph, MO 64506-3488 · (816) 271-7986 · Fax (816) 271-7986
Fax(816) 271-7986
Sole ProprietorNo
Enumeration DateAugust 29, 2006
Last NPPES UpdateOctober 13, 2016
NPI 1215046768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MO · 095469
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
5325 FARAON ST, Saint Joseph, MO 64506

Other Identifiers 10

Medicaid540492501MO
Medicaid200553990CKS
Other10001503301MO · Community Health Plan
Medicare UPINP56505
Medicaid425076601MO
Medicaid200553990DKS
Medicare PINJ55000002
Other30405021Bcbs
Medicaid200553990BKS
Medicaid200553990AKS

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
5325 FARAON ST
SAINT JOSEPH, MO 64506
Internal Medicine
5325 FARAON ST
SAINT JOSEPH, MO 64506
Nurse Practitioner (Psychiatric/Mental Health)
5325 FARAON ST
SAINT JOSEPH, MO 64506
Emergency Medicine
5325 FARAON ST
SAINT JOSEPH, MO 64506
Nurse Practitioner (Acute Care)
5325 FARAON ST
SAINT JOSEPH, MO 64506
Hospitalist
5325 FARAON ST, MS 1020 DIVISION OF GENERAL AND GERIATRIC MEDICINE UNIV
SAINT JOSEPH, MO 64506
Anesthesiology
5325 FARAON ST
SAINT JOSEPH, MO 64506
Nurse Practitioner (Family)
5325 FARAON ST
SAINT JOSEPH, MO 64506

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory Goodman's NPI number?

The NPI number for Gregory Goodman is 1215046768. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Gregory Goodman located?

Gregory Goodman practices at 5325 Faraon St, Saint Joseph, MO 64506. The listed phone number is (816) 271-7986.

What is Gregory Goodman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Gregory Goodman was last updated on October 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.