ALYSSA GOODALL FNP-C NPI 1275280984

NPI Information

NPI: 1275280984
Provider Name: ALYSSA GOODALL, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
296 OLD OAK ST
PEMBROKE, MA
ZIP 02359
Phone: (339) 244-3033
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Alyssa Goodall, FNP-C is a family nurse practitioner in Pembroke, MA with 2 years of experience. Alyssa Goodall, FNP-C NPI is 1275280984. 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:

296 OLD OAK ST
PEMBROKE, MA
ZIP 02359-981
Phone: (339) 244-3033
Fax: (339) 244-3005

The NPI 1275280984 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 3/3/2022 and was last updated on 10/13/2023.

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	RN2301980	MASSACHUSETTS	Yes

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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