Ms. Carrie Christina Goodrum
Nurse Practitioner (Family)

Address: 1520 S. Dobson Rd., Suite 203, Mesa, AZ 85202
Phone: 4804618400

Ms. Carrie Christina Goodrum (NPI# 1063634475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1063634475
Entity Type Individual
Full Name Ms. Carrie Christina Goodrum
Credential FNP
Gender Female
Practice Address 1520 S. Dobson Rd.
Suite 203
Mesa
AZ 85202
Practice Telephone 4804618400
Practice Fax Number 4804618408
Mailing Address 4511 E. Briarwood Terrace
Phoenix
AZ 85048
Mailing Telephone 4802727816
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2007-05-03
Last Update Date 2007-07-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LF0000X Nurse Practitioner · Family Physician Assistants & Advanced Practice Nursing Providers AP2157 AZ

Physician Overview

NPI 1063634475
PAC ID by PECOS 3375716350
Professional Enrollment ID I20111108000486
Full Name Carrie C Goodrum
Organization Legal Name TAKE CARE HEALTH ARIZONA PC
Phone Number 8559254733
Gender F
Graduation Year 2000
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 1355430281
Number of Group Practice Members 67
Accepts Medicare Assignment Y

Office Location

Street Address 1520 S. DOBSON RD.
SUITE 203
City MESA
State AZ
Zip Code 85202

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093154338 Joan Marie Kohr Md PC Surgery 1520 S. Dobson Rd., Suite 214, Mesa, AZ 85202-4754 2013-06-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992283949 Isis Huizar Counselor 1255 W Baseline Rd Ste 138b, Mesa, AZ 85202 2018-08-01
1245724822 Medsource Orthotics & Prosthetics, Inc Prosthetic/Orthotic Supplier 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 2018-06-18
1457843310 Jay Douglas Baumgardner Physical Therapist 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 2018-06-05
1144746215 Alyson Fix Physician Assistant 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 2017-08-20
1194108852 Robert Dale Labrum Counselor 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 2015-06-30
1316356207 Embry Womens Health LLC Nurse Practitioner 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 2014-08-05
1487903373 Jodi Lynn Mealer Pharmacist 1951 W. Baseline Rd., Mesa, AZ 85202 2012-09-06
1710240270 Chad Allen Bowman Student in an Organized Health Care Education/Training Program 235 S El Dorado Circle, Mesa, AZ 85202 2012-06-20
1780946426 Elise Kilmer Specialist/Technologist, Other 2535 W Plata Ave, Mesa, AZ 85202 2012-06-08
1699035717 Robert Dukjun Yoo Internal Medicine 1432 S Dobson Rd Ste 106, Mesa, AZ 85202 2012-05-22
Find all providers in zip 85202

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to comeā€¦

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023589512 Cynthia Cloutier Nurse Practitioner 1537 W Milagro Ave, Mesa, AZ 85202-7571 2018-12-10
1629548953 Miriam Nogueira Zerio Levering Nurse Practitioner 2719 E Concho Ave, Mesa, AZ 85204-3033 2018-11-29
1528537750 Alexander Dupuis Nurse Practitioner 7363 E Naranja Ave, Mesa, AZ 85209-7224 2018-11-16
1033605159 Rebecca Ann Maro Nurse Practitioner 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 2018-07-02
1831680305 Alexandra Katherine Ebong Nurse Practitioner 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 2018-05-21
1336647692 Ambrosia Boyd Nurse Practitioner 10344 E Kinetic Dr, Mesa, AZ 85212-8129 2018-01-31
1033622683 Rachel Lee Taylor Nurse Practitioner 2254 E Lockwood St, Mesa, AZ 85213-2255 2017-11-06
1457863334 David Alonzo Cresap Nurse Practitioner 2216 N Almond, Mesa, AZ 85213-2232 2017-10-31
1578074134 Bianca Pilar Garcia Kendall Nurse Practitioner 6130 E Brown Rd Ste 101, Mesa, AZ 85205-4960 2017-10-22
1699284810 Ebony Hilson Nurse Practitioner 2550 N Thunderbird Cir Ste 139, Mesa, AZ 85215-1222 2017-09-20
Find all providers in MESA

Competitor

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City MESA
Zip Code 85202

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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