RACHEL LAUREN GOODWYN ACNPC-AG NPI 1093362170

NPI Information

NPI: 1093362170
Provider Name: RACHEL LAUREN GOODWYN, ACNPC-AG
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Organization: JOSEPH A CAPLAN MD PC

PECOS Registration: Yes

Address:
13460 N 94TH DR STE J1
PEORIA, AZ
ZIP 85381
Phone: (623) 876-8816
Get Directions

Rachel Lauren Goodwyn, ACNPC-AG is a gerontology nurse practitioner in Peoria, AZ with 5 years of experience. Rachel Lauren Goodwyn, ACNPC-AG NPI is 1093362170. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13460 N 94TH DR STE J1
PEORIA, AZ
ZIP 85381-246
Phone: (623) 876-8816
Fax: (623) 298-0168

The NPI 1093362170 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 8/22/2019 and was last updated on 8/24/2021.

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	363LA2100X	Nurse Practitioner	Acute Care	57242	NEW MEXICO	No
2	363LG0600X	Nurse Practitioner	Gerontology	246985	ARIZONA	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	Other Provider Identifier Issuer
1	246985	OTHER	ARIZONA	AZ-NP LICENSE

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: 11/14/2023

NPI Synchronization or Removal

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