DANTE GOODWIN (NPI# 1104479153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104479153 |
| Entity Type | Individual |
| Full Name | DANTE GOODWIN |
| Credential | AGNP |
| Practice Address |
55 Grand St New Britain CT 06052-2021 |
| Mailing Address |
1274 E Main St Apt C13 Meriden CT 06450-4868 |
| Practice Telephone | 8602233617 |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2019-07-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
8293 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
55 GRAND ST |
| City | NEW BRITAIN |
| State | CT |
| Zip Code | 06052-2021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316557309 | Pedirite Medical Ct Pllc | General Practice | 55 Grand St, New Britain, CT 06052-2021 | 2020-08-04 |
| 1740758259 | Gianna Costantino | Occupational Therapist | 55 Grand St, New Britain, CT 06052-2021 | 2018-11-02 |
| 1497299739 | Ashley Bessette | Occupational Therapist | 55 Grand St, New Britain, CT 06052-2021 | 2016-12-06 |
| 1497203186 | Alexis Craig | Speech-Language Pathologist | 55 Grand St, New Britain, CT 06052-2021 | 2016-09-12 |
| 1477903417 | Lerelies Denise Perez | Occupational Therapist | 55 Grand St, New Britain, CT 06052-2021 | 2016-06-21 |
| 1104287051 | Parkside Rehabilitation and Healthcare Center LLC | Skilled Nursing Facility | 55 Grand St, New Britain, CT 06052-2021 | 2016-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629604905 | Lynn Fazzino | Physical Therapist | Cora, 136 West Main St, New Britain, CT 06052 | 2020-03-18 |
| 1265927826 | Marie Susie Gustin | Psychologist | 365 Shuttle Meadow Ave, New Britain, CT 06052 | 2018-06-26 |
| 1942711718 | Ashley R Stevens | Nurse Practitioner | 22 Cedar St., New Britain, CT 06052 | 2017-10-19 |
| 1740710417 | Roxanne Guzze | Pharmacy Technician | 470 Hartford Road, New Britain, CT 06052 | 2017-06-15 |
| 1417483165 | Liberty Integrated Behavioral Health, LLC | Nurse Practitioner | 18 Hart St., New Britain, CT 06052 | 2017-05-02 |
| 1518233022 | Kristy Messier | Counselor | 73 Cedar St., The Hospital of Central Connecticut, New Britain, CT 06052 | 2012-03-29 |
| 1629374178 | Liberty Healthcare, LLC | Nurse Practitioner | 18 Hart St, New Britain, CT 06052 | 2011-02-01 |
| 1528207800 | Colleen M Picone | Social Worker | 55 Winthrop Street, New Britain, CT 06052 | 2009-02-11 |
| 1902073166 | Joseph Paladino | Durable Medical Equipment & Medical Supplies | 39 Brooklawn St, New Britain, CT 06052 | 2008-05-15 |
| 1861667768 | Elizabeth Kartsen | Audiologist | 292 West Main Street, Grove Hill Medical Center, PC, New Britain, CT 06052 | 2008-04-23 |
| Find all providers in zip 06052 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427348515 | Francine Ann Truglio | Nurse Practitioner | 56 Hawkins St, New Britain, CT 06052-2012 | 2011-04-11 |
| 1326072166 | Maureen Bracco | Nurse Practitioner | 183 N Mountain Rd, New Britain, CT 06053-4325 | 2006-07-10 |
| 1013539188 | Jason Manto | Nurse Practitioner | 85 Lafayette St, New Britain, CT 06051-1803 | 2020-05-12 |
| 1699144071 | Nicole G Mckenzie | Nurse Practitioner | 300 Kensington Ave, New Britain, CT 06051-3916 | 2015-09-16 |
| 1649657115 | Winifred Adlene Benjamin | Nurse Practitioner | 2150 Corbin Ave, New Britain, CT 06053-2266 | 2015-05-04 |
| 1669876470 | Tracy Blanford | Nurse Practitioner | 18 Hart St, New Britain, CT 06052-1702 | 2014-10-22 |
| 1598174575 | Duojia Shen | Nurse Practitioner | 300 Kensington Ave, New Britain, CT 06051-3999 | 2014-08-04 |
| 1427301753 | Melissa Catherine Rusate | Nurse Practitioner | 100 Grand St, Provider Enrollment, New Britain, CT 06052-2016 | 2012-10-24 |
| 1861765281 | Laura Elizabeth Beveridge | Nurse Practitioner | 300 Kensington Ave, New Britain, CT 06051-3916 | 2012-02-15 |
| 1861771958 | Catherine Callan | Nurse Practitioner | 100 Grand St, New Britain, CT 06052-2016 | 2011-08-08 |
| Find all providers in NEW BRITAIN | ||||
| City | NEW BRITAIN |
| Zip Code | 06052 |
Please comment or provide details below to improve the information on DANTE GOODWIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.