Tara Leah Goesch, APRN | |
14080 Hospital Rd, Children's Hosp & Medical Ctr - Cardiothoracic Surgery, Boys Town, NE 68010-7513 | |
(402) 778-6900 | |
(402) 778-6917 |
Full Name | Tara Leah Goesch |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 14080 Hospital Rd, Boys Town, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316217946 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 111280 (Nebraska) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 111185 (Nebraska) | Primary |
Entity Name | Phoenix Children's Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922112044 PECOS PAC ID: 0446278584 Enrollment ID: O20051107000704 |
Mailing Address | Practice Location Address |
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Tara Leah Goesch, APRN 555 N 30th St, Children's Hospital & Medical Center, Omaha, NE 68131-2136 Ph: (402) 280-8100 | Tara Leah Goesch, APRN 14080 Hospital Rd, Children's Hosp & Medical Ctr - Cardiothoracic Surgery, Boys Town, NE 68010-7513 Ph: (402) 778-6900 |
Ji Li, BSN, RN, MSN, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14000 Boys Town Hospital Rd, Boys Town, NE 68010 Phone: 531-355-1234 | |
Natalie R Gomez, APRN-NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14040 Hospital Road, Boys Town, NE 68010 Phone: 531-355-6800 | |
Kara Marie Wolff, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14080 Hospital Rd, Boys Town, NE 68010 Phone: 402-778-6900 Fax: 402-778-6917 | |
Jennifer Frances Banfield, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14080 Hospital Rd, Boys Town, NE 68010 Phone: 402-778-6900 Fax: 402-778-6968 | |
Rosemary J Pauley, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14080 Boystown Hospital Rd, Boys Town, NE 68010 Phone: 402-778-6800 Fax: 402-778-6874 | |
Ms. Judith M Essink, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14080 Hospital Rd, Boys Town, NE 68010 Phone: 402-778-6900 Fax: 402-778-6917 |