MOLLIE GOODMAN NP NPI 1114295458

NPI Information

  • NPI: 1114295458
  • Provider Name: MOLLIE GOODMAN, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2238 GEARY BLVD
    5TH FLOOR
    SAN FRANCISCO, CA
    ZIP 94115
  • Phone: (415) 833-2000

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NPI Details

Mollie Goodman, NP is a family nurse practitioner in San Francisco, CA. Mollie Goodman, NP NPI is 1114295458. 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:

2238 GEARY BLVD
5TH FLOOR
SAN FRANCISCO, CA
ZIP 94115-416
Phone: (415) 833-2000

The NPI 1114295458 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 12/1/2011 and was last updated on 3/10/2022.

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
1363LF0000XNurse PractitionerFamily17102CALIFORNIAYes

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
11326265125OTHERCALIFORNIAPAST NPI NUMBER (THROUGH PROVIDER)

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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