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Active NPI 1568165074 Individual Practitioner Female Practitioner

Kimberly Marie Goddard , A-GNP-C

Nurse Practitioner • Marion, IL

Professional Overview & Biography Verified Profile Summary

Kimberly Goddard, A-GNP-C is a registered healthcare professional specializing in Nurse Practitioner in Marion, IL. Practice services are available at 2401 W MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2401 W Main St

Marion, IL 629591188

Telephone 6189975311
Associated Practice Facility / Clinic
🏢 St. Louis Jc Vamc Facility NPI 1750349429

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Marion, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.5 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
35 Specialists

Practicing in Marion, IL (4929 Statewide)

Telehealth Adoption Rate
2.9% 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: 2023-03-23
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209014034

(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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Jenny Armendarez

Technician - Attendant Care Provider

NPI 1003467481
NPI 1003672486

REGISTEREDNURSE

Tameeka Marvin

Registered Nurse

NPI 1013613397
Bobbie Emery , RN

Registered Nurse - Ambulatory Care

NPI 1013615806

Registered Nurse

Lesli Noto , RN

Registered Nurse - Oncology

NPI 1013616770

Registered Nurse

Adrienne Franks

Registered Nurse

NPI 1013617604

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 23, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 23, 2023

Registered at 2401 W MAIN ST, MARION, IL 629591188 (Tel: 6189975311)

📍
Updated Business Mailing Address March 23, 2023

Registered at 2401 W MAIN ST, MARION, IL 629591188 (Tel: 6189975311)

👤
Provider Name / Credentials Updated March 23, 2023

Recorded as KIMBERLY GODDARD, A-GNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2023

Nurse Practitioner (License #209014034 in IL)

🟢
Initial NPI Registration & Enumeration March 23, 2023

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: 1568165074
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2023
Last Update: March 23, 2023
Sole Proprietor: No

Mailing Address

2401 W Main St

Marion, IL 629591188

Phone: 6189975311

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.