DR. LISA M GOODE AGCNS NPI 1073385522

NPI Information

  • NPI: 1073385522
  • Provider Name: DR. LISA M GOODE, AGCNS
  • Classification: Clinical Nurse Specialist - 364S00000X
  • Entity Type: Individual
  • Address: 650 JOEL DR
    FORT CAMPBELL, KY
    ZIP 42223
  • Phone: (270) 798-2245

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NPI Details

DR. Lisa M Goode, AGCNS is a clinical nurse specialist in Fort Campbell, KY. The provider is a registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. DR. Lisa M Goode, AGCNS NPI is 1073385522. 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:

650 JOEL DR
FORT CAMPBELL, KY
ZIP 42223-318
Phone: (270) 798-2245

The enumeration date for this NPI number is 10/27/2023 and was last updated on 4/11/2025.

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
1163WM0705XRegistered NurseMedical-SurgicalRN59667MAINENo
2364S00000XClinical Nurse Specialist0024189280VIRGINIAYes

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: 11/21/2025

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