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DIANE MICHELLE GOETZ APRN NPI 1366972283


NPI Information

NPI: 1366972283
Provider Name: DIANE MICHELLE GOETZ, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

CLIA Number: 18D2213238

Address:
3000 ALVEY PARK DR W STE D
OWENSBORO, KY
ZIP 42303
Phone: (270) 215-7744
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Diane Michelle Goetz, APRN is a family nurse practitioner in Owensboro, KY with 7 years of experience. Diane Michelle Goetz, APRN NPI is 1366972283. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3000 ALVEY PARK DR W STE D
OWENSBORO, KY
ZIP 42303-099
Phone: (270) 215-7744
Fax: (877) 720-8706

The NPI 1366972283 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 CLIA number assigned to this NPI record is 18D2213238 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/13/2017 and was last updated on 1/12/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily3011388KENTUCKYYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.