MS. DEBORAH JEAN GODDARD ARNP NPI 1770521874

NPI Information

  • NPI: 1770521874
  • Provider Name: MS. DEBORAH JEAN GODDARD, ARNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 300 HEALTH PARK BLVD
    ST AUGUSTINE, FL
    ZIP 32086
  • Phone: (904) 819-4747

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NPI Details

MS. Deborah Jean Goddard, ARNP is a family nurse practitioner in St Augustine, FL. MS. Deborah Jean Goddard, ARNP NPI is 1770521874. 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:

300 HEALTH PARK BLVD
ST AUGUSTINE, FL
ZIP 32086-707
Phone: (904) 819-4747
Fax: (904) 819-5080

The NPI 1770521874 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 6/2/2006 and was last updated on 1/15/2014.

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
1363LF0000XNurse PractitionerFamilyARNP 3353562FLORIDAYes

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
1306983400MEDICAIDFLORIDA

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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