Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770521874 Individual Practitioner Female Practitioner

Deborah Jean Goddard , ARNP

Nurse Practitioner - Family • St Augustine, FL

Professional Overview & Biography Verified Profile Summary

Deborah Goddard, ARNP is a registered healthcare professional specializing in Nurse Practitioner - Family in St Augustine, FL. Practice services are available at 300 HEALTH PARK BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

300 Health Park Blvd

St Augustine, FL 320863707

Telephone 9048194747
Fax 9048195080
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.6 Yrs
State Avg: 8.1 Yrs
Regional Practice Density
74 Specialists

Practicing in St Augustine, FL (22518 Statewide)

Telehealth Adoption Rate
10.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License FL ARNP 3353562

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
306983400 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Joanne Puleo , ARNP

Nurse Practitioner - Family

NPI 1154520815

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 15, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 15, 2014

Registered at 300 HEALTH PARK BLVD, ST AUGUSTINE, FL 320863707 (Tel: 9048194747)

📍
Updated Business Mailing Address January 15, 2014

Registered at 555 N BYRON BUTLER PKWY, PERRY, FL 323472315 (Tel: 8502235400)

👤
Provider Name / Credentials Updated January 15, 2014

Recorded as DEBORAH GODDARD, ARNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2014

Nurse Practitioner (License #ARNP 3353562 in FL)

🟢
Initial NPI Registration & Enumeration June 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770521874
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2006
Last Update: January 15, 2014
Sole Proprietor: No

Mailing Address

555 N Byron Butler Pkwy

Perry, FL 323472315

Phone: 8502235400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.