NPI 1184143752 · live from the CMS NPI Registry
Lillian Adelle Goodman, NP
Nurse Practitioner in Olathe, KS. National Provider Identifier 1184143752, active.
NPI record
| NPI | 1184143752 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 20375 W 151st St Ste 301, Olathe, KS 66061 |
| Practice phone | 913-390-8050 |
| Enumerated | September 14, 2017 |
| Last updated | October 19, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice | 163WG0000X | 85526 (KS) |
| Nurse Practitioner primary | 363L00000X | 53-77927 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.