Nurse Practitioner, Family
CHAD GOODERHAM FNP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1639153091 · enumerated 2005-11-30 · record updated 2026-07-13. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 1123 SHANNON DR, FAIRBANKS, AK, 99701-3811 (907) 457-5158 Google Maps Apple Maps OpenStreetMap
- Practice location 1060 GAFFNEY RD, FORT WAINWRIGHT, AK, 99703-5001 (907) 353-5286 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Family 363LF0000X · License 1927-033 WI
- Nurse Practitioner, Family 363LF0000X · Primary · License 105025-030 WI
In this directory
AK Fairbanks North Star Borough Fort Wainwright Nurse Practitioner, Family
Locations and evidence
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Practice location
FORT WAINWRIGHT, AK, 997035001
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.