JULIAN GOOD FNP PMHNP NPI 1023099637

NPI Information

NPI: 1023099637
Provider Name: JULIAN GOOD, FNP, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
510 W 29TH ST
CHEYENNE, WY
ZIP 82001
Phone: (330) 763-2936
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Julian Good, FNP, PMHNP is a psychiatric/mental health nurse practitioner in Cheyenne, WY. Julian Good, FNP, PMHNP NPI is 1023099637. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

510 W 29TH ST
CHEYENNE, WY
ZIP 82001-760
Phone: (330) 763-2936
Fax: (307) 637-6852

The NPI 1023099637 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/10/2005 and was last updated on 11/9/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	19109.0857	WYOMING	No
2	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	19109.0857	WYOMING	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	19109.0857	WYOMING	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	123919800	MEDICAID	WYOMING
2	21133	MEDICARE PIN	WYOMING
3	P78877	MEDICARE UPIN	WYOMING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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