JEFFREY CLARK GOETZ FNP NPI 1528456043

NPI Information

  • NPI: 1528456043
  • Provider Name: JEFFREY CLARK GOETZ, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1 HOSPITAL DR
    COLUMBIA, MO
    ZIP 65212
  • Phone: (573) 882-8091

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NPI Details

Jeffrey Clark Goetz, FNP is a family nurse practitioner in Columbia, MO with 11 years of experience. Jeffrey Clark Goetz, FNP NPI is 1528456043. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 HOSPITAL DR
COLUMBIA, MO
ZIP 65212-001
Phone: (573) 882-8091
Fax: (573) 884-1902

The NPI 1528456043 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 1/6/2015 and was last updated on 8/23/2022.

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 PractitionerFamily2014037660MISSOURIYes

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: 3/30/2025

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