Chad Gooderham, FNP

ActiveIndividual ProviderNurse Practitioner
NPI issued: November 30, 2005

Quick Facts

NPI Number
1639153091
TypeIndividual
StatusActive
SpecialtyNurse Practitioner
Taxonomy363LF0000X — Nurse Practitioner
Phone
(907) 353-5286
StateAK

NPI Validation Status: Verified

Valid 10-digit NPI number (1639153091)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (November 30, 2005)
Data source: CMS NPPES

Provider Overview

CHAD GOODERHAM, FNP is a Nurse Practitioner provider based in Fort Wainwright, AK who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1639153091
Provider TypeIndividual Provider
GenderMale
CredentialFNP
StatusActive
Enumeration DateNovember 30, 2005

Practice Location

CityFort Wainwright
StateAK
ZIP Code99703-5001
Phone(907) 353-5286

Specialties & Licenses

★ Primary
SpecialtyNurse Practitioner
Taxonomy Code363LF0000X
License StateAK

Mailing Address

CityFort Wainwright
StateAK
ZIP Code99703-5001
Phone(907) 353-5286
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1639153091 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1639153091for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1639153091 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Practitioner

Family Nurse Practitioners (FNPs) provide comprehensive primary healthcare services across the lifespan, including diagnostic assessments, prescribing medications, and disease prevention education.

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224,221
Nurse Practitioner Providers in the US

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Kathryn Baker, MSN, FNP-C

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Other Healthcare Providers in Fort Wainwright

Susan Tate, MD

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Michael Arnett, MD

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Elizabeth Mittelstaedt

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Arlin Guess, RN

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Cynthia Aita-holmes, DMD

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Melissa Wallace, RN, CHE

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People Also Ask

What is Chad Gooderham's NPI number?
Chad Gooderham's NPI number is 1639153091, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Chad Gooderham's NPI currently active?
Yes, Chad Gooderham's NPI status is Active as of the latest CMS NPPES database updates.
What does Chad Gooderham specialize in?
Chad Gooderham specializes in Nurse Practitioner. The healthcare taxonomy code associated with this specialty is 363LF0000X.
Where does Chad Gooderham practice?
Chad Gooderham practices in Fort Wainwright, AK 99703-5001.
When was Chad Gooderham's NPI issued?
Chad Gooderham's NPI was issued on November 30, 2005.
What is Chad Gooderham's provider type?
Chad Gooderham is registered as an Individual Provider under CMS NPI Type 1.