CONNIE F GODJIKIAN ARNP NPI 1639236318

NPI Information

NPI: 1639236318
Provider Name: CONNIE F GODJIKIAN, ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
3209 S 23RD ST
SUITE 340
TACOMA, WA
ZIP 98405
Phone: (253) 272-8148
Get Directions

Connie F Godjikian, ARNP is a family nurse practitioner in Tacoma, WA. Connie F Godjikian, ARNP NPI is 1639236318. 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:

3209 S 23RD ST
SUITE 340
TACOMA, WA
ZIP 98405-602
Phone: (253) 272-8148
Fax: (253) 404-0506

The enumeration date for this NPI number is 1/2/2007 and was last updated on 4/8/2014.

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	AP30007488	WASHINGTON	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	9651779	MEDICAID	WASHINGTON
2	G8879088	MEDICARE PIN	WASHINGTON
3	8851594	MEDICARE PIN	WASHINGTON
4	8863877	MEDICARE PIN	WASHINGTON
5	G8851594	MEDICARE PIN	WASHINGTON
6	AP30007488	OTHER	WASHINGTON	WA LICENSE
7	G8851596	MEDICARE PIN	WASHINGTON
8	000188100	MEDICARE PIN	WASHINGTON
9	001045700	MEDICARE PIN	WASHINGTON
10	G8880511	MEDICARE PIN	WASHINGTON
11	G8851595	MEDICARE PIN	WASHINGTON
12	G8851597	MEDICARE PIN	WASHINGTON
13	P00424497	MEDICARE PIN	WASHINGTON

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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