AUDREY DENISE GOODJOIN (NPI# 1336767730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336767730 |
| Entity Type | Individual |
| Full Name | AUDREY DENISE GOODJOIN |
| Credential | NP |
| Practice Address |
807 N Main St Travelers Rest SC 29690-1551 |
| Mailing Address |
300 E Mcbee Ave Fl 4 Greenville SC 29601-2842 |
| Practice Telephone | 8648345132 |
| Mailing Telephone | 8645228614 |
| Enumeration Date | 2020-07-12 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
23185 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
807 N MAIN ST |
| City | TRAVELERS REST |
| State | SC |
| Zip Code | 29690-1551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951550 | Dina C Graham | Pharmacist | 807 N Main St, Travelers Rest, SC 29690-1551 | 2020-10-28 |
| 1376142992 | Dinah Jankovic | Pharmacist | 807 N Main St, Travelers Rest, SC 29690-1551 | 2020-10-24 |
| 1205459443 | Prisma Health-upstate | Clinic/Center | 807 N Main St, Travelers Rest, SC 29690-1551 | 2020-05-22 |
| 1427504554 | Prisma Health-upstate | Long Term Care Hospital | 807 N Main St, Travelers Rest, SC 29690-1551 | 2016-08-29 |
| 1376752410 | Laura H. Turman | Pharmacist | 807 N Main St, Travelers Rest, SC 29690-1551 | 2007-05-22 |
| 1952445207 | Katherine Gosnell Morgan | Pharmacist | 807 N Main St, Travelers Rest, SC 29690-1551 | 2007-02-19 |
| 1982657953 | Greenville Health System | Long Term Care Hospital | 807 N Main St, Travelers Rest, SC 29690-1551 | 2006-05-18 |
| 1417907924 | Greenville Health System | Special Hospital | 807 N Main St, Travelers Rest, SC 29690-1551 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063709 | Act Medical Transport Services LLC | Private Vehicle | 316 Poplar St Ext, Travelers Rest, SC 29690 | 2020-11-04 |
| 1881180297 | Tonya Cheeks | Home Health Aide | 20 S Poinsett Hwy Ste C, Travelers Rest, SC 29690 | 2018-07-09 |
| 1811391683 | Dialysis Newco, Inc | Clinic/Center | 36 South Main Street, Travelers Rest, SC 29690 | 2014-10-22 |
| 1356762835 | Maura Smith | Pharmacist | 1500 Seer Highway Ingles Pharmacy, Travelers Rest, SC 29690 | 2013-12-30 |
| 1174873400 | Regena Leeann Morgan | Pharmacist | 200 Hwy 25 North, Travelers Rest, SC 29690 | 2012-09-13 |
| 1316187040 | William Matthew Fisher | Psychiatry & Neurology | One Havenwood Lane, Travelers Rest, SC 29690 | 2009-02-20 |
| 1437303625 | Deborah Ann Arnold | Speech-Language Pathologist | 130 Echo Lane, Travelers Rest, SC 29690 | 2008-11-14 |
| 1124299375 | Preserve Health, Pa | Family Medicine | 135 Botanical Circle, Travelers Rest, SC 29690 | 2008-03-17 |
| 1962627372 | Mcleskey Todd Pharmacy of Travelers Rest, Inc | Durable Medical Equipment & Medical Supplies | 32 South Main St, Travelers Rest, SC 29690 | 2007-04-13 |
| 1730231408 | Jon Michael Julian | Dentist | 125 Botanical Circle, Travelers Rest, SC 29690 | 2007-01-16 |
| Find all providers in zip 29690 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730799800 | Lateasha Lakira Henderson | Nurse Practitioner | 848 Pine Log Ford Rd, Travelers Rest, SC 29690-8864 | 2020-08-04 |
| 1750801791 | Sybil Tezza | Nurse Practitioner | 1 Havenwood Ln, Travelers Rest, SC 29690-9447 | 2017-06-21 |
| 1164874921 | Stacey Dilworth | Nurse Practitioner | 200 N Highway 25, Travelers Rest, SC 29690-2300 | 2016-07-05 |
| 1063897585 | Brandy Diane Macdonald | Nurse Practitioner | 200 N Highway 25, Travelers Rest, SC 29690-2300 | 2015-07-26 |
| 1699105411 | Lili Chen | Nurse Practitioner | 1588 Geer Hwy, Travelers Rest, SC 29690-9204 | 2013-11-14 |
| 1235477894 | Kelley N Smith | Nurse Practitioner | 200 N Highway 25, Travelers Rest, SC 29690-2300 | 2013-01-16 |
| 1093982555 | Kara Price | Nurse Practitioner | 135 Botanical Circle, Travelers Rest, SC 29690 | 2008-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557737 | Diondra Johnson | Nurse Practitioner | 2327 Watchtower Ln, Charleston, SC 29414-7803 | 2020-10-27 |
| 1740888262 | Gerri Kukucka | Nurse Practitioner | 18 Ash Ct, Irmo, SC 29063-9584 | 2020-10-16 |
| 1407454853 | William Andrew Haislip | Nurse Practitioner | 109 Anita St, Greer, SC 29651-3814 | 2020-10-16 |
| 1912505652 | Mattison Williams Craig | Nurse Practitioner | 108 Woodstock Ln, Greer, SC 29650-3918 | 2020-10-14 |
| 1669079901 | Kelley Brown Davis | Nurse Practitioner | 2689 Us-1, Elgin, SC 29045 | 2020-10-08 |
| 1518564897 | Erica Odom Mccumbers | Nurse Practitioner | 17 Downing Cir, Gilbert, SC 29054-8483 | 2020-10-08 |
| 1285231845 | Shannon Marie Dunlap | Nurse Practitioner | 3792 Home Branch Rd, Manning, SC 29102-4109 | 2020-10-07 |
| 1588261325 | Crystal Leopard | Nurse Practitioner | 328 Deer Creek Rd, Easley, SC 29640-7615 | 2020-10-05 |
| 1497352595 | Margaret Ann Regnery | Nurse Practitioner | 900 Island Park Dr Ste 104, Daniel Island, SC 29492-7560 | 2020-10-02 |
| 1417564709 | John P Rainchuso | Nurse Practitioner | 299 Three Runs Creek Way, Aiken, SC 29803-1680 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | TRAVELERS REST |
| Zip Code | 29690 |
Please comment or provide details below to improve the information on AUDREY DENISE GOODJOIN.
| 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.