KRISTEN JOY GOODWIN (NPI# 1194056143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194056143 |
Entity Type | Individual |
Full Name | KRISTEN JOY GOODWIN |
Practice Address |
1650 Greenfield St Wilmington NC 28401-6456 |
Practice Telephone | 9107983500 |
Practice Fax Number | 9107987834 |
Mailing Telephone | 9107983500 |
Enumeration Date | 2010-01-14 |
Last Update Date | 2020-03-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5007406 | NC | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
4105 | SC | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598915449 | Kristen Goodwin | Speech-Language Pathologist | 3618 Littledale Rd, Kensington, MD 20895-3434 | 2008-09-29 |
1467435925 | Kristen Joann Goodwin | Registered Nurse | 1060 Gaffney Rd, Commander, Usa-meddac-ak, Attn: Mcuc-mmd-qm, Ft Wainwright, AK 99703-5001 | 2005-11-29 |
Street Address |
1650 GREENFIELD ST |
City | WILMINGTON |
State | NC |
Zip Code | 28401-6456 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588662308 | Rufus Henry Temple Jr. | Obstetrics & Gynecology | 1650 Greenfield St, Wilmington, NC 28401-6456 | 2005-07-14 |
1104483999 | Ashley Mcphail Barton | Dietitian, Registered | 1650 Greenfield St, Wilmington, NC 28401-6456 | 2019-05-28 |
1275848723 | Lionel Elbert Willis IIi | Counselor | 1650 Greenfield St, Wilmington, NC 28401-6456 | 2010-08-09 |
1356500763 | Carol Rich Butler | Nurse Practitioner | 1650 Greenfield St, Wilmington, NC 28401-6456 | 2008-06-02 |
1255504239 | Eric N. Spencer | Counselor | 1650 Greenfield St, Wilmington, NC 28401-6456 | 2008-04-10 |
1043400021 | New Hanover County Department of Social Services | Case Management | 1650 Greenfield St, Wilmington, NC 28401-6456 | 2007-07-26 |
1346369808 | Glen Wayne Anderson Jr. | Psychologist | 1650 Greenfield St, Wilmington, NC 28401-6456 | 2007-03-28 |
1508982620 | Emily Bryant Corrigan | Social Worker | 1650 Greenfield St, Wilmington, NC 28401-6456 | 2007-03-21 |
1356466130 | Melinda Mcenroe | Psychologist | 1650 Greenfield St, Wilmington, NC 28401-6456 | 2007-03-20 |
1194840942 | Ronald Keith Montgomery | Counselor | 1650 Greenfield St, Wilmington, NC 28401-6456 | 2007-03-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
Find all providers in zip 28401 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609488428 | Samantha Kuhlman | Nurse Practitioner | 1509 Doctors Cir Bldg C, Wilmington, NC 28401-7403 | 2020-08-21 |
1023630290 | Carole King Stevenson | Nurse Practitioner | 1111 Figueroa Pl # Tech115, Wilmington, CA 90744-2311 | 2020-05-11 |
1962031039 | Jasmine Marie Locklear | Nurse Practitioner | 2550 41st St, Wilmington, NC 28403-5519 | 2020-04-02 |
1811558422 | Emma Rose Boisvert I | Nurse Practitioner | Deerfield Valley Health Center, 30 Route 100 South, Wilmington, VT 05363-0536 | 2019-06-25 |
1922569482 | Joy Peterson | Nurse Practitioner | 1815 W 13th St Ste 1, Wilmington, DE 19806-4054 | 2019-03-27 |
1104382308 | Caitlin Gallagher | Nurse Practitioner | 608 Dawson St Ste 103, Wilmington, NC 28401-5712 | 2019-02-13 |
1407344476 | Adelle Grant-mcauley | Nurse Practitioner | 3521 Silverside Rd., Quillen Building Suite 2j, Wilmington, DE 19810 | 2018-04-25 |
1538674767 | Angela M Mcnulty | Nurse Practitioner | 3521 Silverside Rd Ste 1c, Wilmington, DE 19810-4900 | 2017-12-11 |
1851804694 | Laura Jean Cornelis | Nurse Practitioner | 908b East 16th Street, Wilmington, DE 19802 | 2017-11-15 |
1952825168 | Alicia Camille Vogleson | Nurse Practitioner | 2601 Annand Dr Ste 3, Wilmington, DE 19808-3719 | 2017-07-29 |
Find all providers in WILMINGTON |
City | WILMINGTON |
Zip Code | 28401 |
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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.