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STANLEY GOODING FNP
NPI 1679019400
Nurse Practitioner - Family in Godfrey, IL

Active since January 18, 2017
5520 GODFREY RD, STE B, GODFREY, IL 62035(618) 463-7800(618) 467-0073 Get Directions Write a Review

NPPES record last updated: April 5, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 29, 2017, Mar 21, 2017, Jan 18, 2017 (3 updates tracked since 2017).

About Stanley Gooding Fnp NPPES

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

STANLEY GOODING FNP (NPI 1679019400) is an individual family provider in Godfrey, Illinois, licensed in Illinois (209015670) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1679019400
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSTANLEY GOODINGCredential: FNP
Location Address5520 GODFREY RD, STE BGodfrey, IL 62035-2741
Mailing Address670 Mason Ridge Center Dr, Ste. 300Saint Louis, MO 63141-8573 · (618) 463-7800 · Fax (618) 467-0073
Phone(618) 463-7800
Fax(618) 467-0073
Sole ProprietorNo
Enumeration DateJanuary 18, 2017
Last NPPES UpdateApril 5, 20173 updates tracked since enumeration
✔ NPI 1679019400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in IL · 209015670✔ Licensed in MO · 2017001791
Also ListedRegistered NurseTaxonomy 163W00000X · License 131063 (MO)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 2017001791 (MO)
5520 GODFREY RD, Godfrey, IL 62035
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Other Providers at the Same Location NPPES 2

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

ALTON MEMORIAL PHYSICIAN BILLING SERVICES, LLC
Clinic/Center (Primary Care)
5520 GODFREY RD
GODFREY, IL 62035
Madison County (618) 463-7800
MRS. SARAH ANN BECKER FNP-BC
Nurse Practitioner (Family)
5520 GODFREY RD, STE B
GODFREY, IL 62035
Madison County (618) 463-7800

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 Stanley Gooding's NPI number?

The NPI number for Stanley Gooding is 1679019400. It was assigned to this individual provider in the NPPES registry on January 18, 2017.

Where is Stanley Gooding located?

Stanley Gooding practices at 5520 Godfrey Rd Ste B, Godfrey, IL 62035. The listed phone number is (618) 463-7800.

What is Stanley Gooding's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Stanley Gooding was last updated on April 5, 2017. 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.