Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558955831 Individual Practitioner Female Practitioner

Emily Goodman , CPNP

Nurse Practitioner • Evanston, IL

Professional Overview & Biography Verified Profile Summary

Emily Goodman, CPNP is a registered healthcare professional specializing in Nurse Practitioner in Evanston, IL. Practice services are available at 2650 RIDGE AVE. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2650 Ridge Ave.
Department Of Pediatrics

Evanston, IL 602011781

Telephone 8475702033

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Evanston, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.8 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
140 Specialists

Practicing in Evanston, IL (4929 Statewide)

Telehealth Adoption Rate
21.4% 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

CMS Verified: 2022-03-28
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209024926

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License GA RN290081

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
RN290081 (GA)

Secondary Practice Locations

365 N Jeff Davis Dr

Fayetteville, GA 302141627

Phone: 7704619089

Practice Associates & Co-Workers

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

18 Associated Practitioners
NPI 1134201205

Doctor of Medicine (M.D.)

Dr. Lina Sapiegiene , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1205857422

Doctor of Medicine (M.D.)

Dr. Dietra Millard , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1205918398

Doctor of Medicine (M.D.)

Dr. Bernhard Allgaier , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1245399898

Doctor of Medicine (M.D.)

Michael Amer

Pediatrics - Neonatal-Perinatal Medicine

NPI 1275615353
NPI 1306905880

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location May 03, 2022

Registered at 2650 RIDGE AVE., DEPARTMENT OF PEDIATRICS, EVANSTON, IL 602011781 (Tel: 8475702033)

📍
Updated Business Mailing Address May 03, 2022

Registered at 2650 RIDGE AVE., DEPARTMENT OF PEDIATRICS, EVANSTON, IL 602011781 (Tel: 8475702033)

NPI Profile Active February 26, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location February 26, 2021

Registered at 365 N JEFF DAVIS DR, FAYETTEVILLE, GA 302141627 (Tel: 7704619089)

📍
Updated Business Mailing Address February 26, 2021

Registered at 365 N JEFF DAVIS DR, FAYETTEVILLE, GA 302141627 (Tel: 7704619089)

👤
Provider Name / Credentials Updated February 26, 2021

Recorded as EMILY GOODMAN, CPNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2021

Nurse Practitioner (License #RN290081 in GA)

🟢
Initial NPI Registration & Enumeration February 26, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Emily Goodman. Be the first to share your experience!

Sign in to leave a review for Emily Goodman

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1558955831
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 26, 2021
Last Update: May 03, 2022
Sole Proprietor: No

Mailing Address

2650 Ridge Ave., Department Of Pediatrics

Evanston, IL 602011781

Phone: 8475702033

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.