STACY GOODIN, FNP (NPI# 1356796817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356796817 |
Entity Type | Organization |
Organization Name | STACY GOODIN, FNP |
Practice Address |
5012 S Us Highway 75 Denison TX 75020-4587 |
Practice Telephone | 9034655012 |
Practice Fax Number | 8663077513 |
Mailing Telephone | 9034655012 |
Mailing Fax Number | 8663077513 |
Enumeration Date | 2016-05-03 |
Last Update Date | 2016-05-03 |
Authorized Official Name | STACY GOODIN (FNP) |
Authorized Official Telephone | 9034655012 |
Authorized Official Credential | FNP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | AP130767 | TX | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | FNP | AP130767 | 01 |
Street Address |
5012 S US HIGHWAY 75 |
City | DENISON |
State | TX |
Zip Code | 75020-4587 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013903061 | Barbara Anne Graham | Pediatrics | 5012 S Us Highway 75, Suite 300, Denison, TX 75020-4587 | 2005-09-26 |
1053785824 | Michelle White | Physical Therapist | 5012 S Us Highway 75, Ste 120, Denison, TX 75020-4587 | 2015-11-17 |
1760880678 | Sarah Vellotti | Nurse Practitioner | 5012 S Us Highway 75, Denison, TX 75020-4587 | 2014-12-09 |
1285036665 | Whitney Laree Richards | Nurse Practitioner | 5012 S Us Highway 75, Suite 250, Denison, TX 75020-4587 | 2014-09-17 |
1578988168 | Haley Dawn Harrelson | Nurse Practitioner | 5012 S Us Highway 75, Suite 100, Denison, TX 75020-4587 | 2014-02-19 |
1184069221 | Jane Skief | Nurse Practitioner | 5012 S Us Highway 75, Suite 100, Denison, TX 75020-4587 | 2013-05-02 |
1285980383 | Texoma Retina Center Pa | Clinic/Center | 5012 S Us Highway 75, 300, Denison, TX 75020-4587 | 2012-07-26 |
1649532912 | Carlton Craig Cranford | Podiatrist | 5012 S Us Highway 75, Suite 120, Denison, TX 75020-4587 | 2012-06-13 |
1346514833 | Texoma Orthopedic and Spine Pllc | Physical Therapist | 5012 S Us Highway 75, Suite 120, Denison, TX 75020-4587 | 2012-02-29 |
1740557909 | Premier Pulmonary Critical Care and Sleep Medicine, Pa | Internal Medicine | 5012 S Us Highway 75, 290, Denison, TX 75020-4587 | 2011-11-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780210161 | Claudia Perez | Counselor | 6101 Hwy 691, Denison, TX 75020 | 2020-03-18 |
1356989800 | Chandler Stockwell | Perfusionist | 5016 North Highway 75, Denison, TX 75020 | 2019-12-16 |
1598301459 | Amanda Lauren Boyle | Family Medicine | 307 King Ave, Dennison, TX 75020 | 2019-11-25 |
1770134876 | Red River Oral Surgery | Dentist | 4616 Highway 75, Suite 201, Denison, TX 75020 | 2019-09-20 |
1558844399 | Leslie Jill Wilson | Speech-Language Pathologist | 3635 Rosewood Drive, Denison, TX 75020 | 2018-09-07 |
1487175758 | Amanda Hoyer | Physician Assistant | 5012 S Us Highway 75 Ste 150, Denison, TX 75020 | 2017-06-27 |
1679006076 | Michael Slack | Family Medicine | 5016 N Us Hwy 75, Denison, TX 75020 | 2017-04-04 |
1184171597 | Tanya Paschen | Nurse Practitioner | 1300 Tx-91, Denison, TX 75020 | 2016-09-01 |
1992154553 | Rhonda Howery | Durable Medical Equipment & Medical Supplies | 1001 W. Main St., Suite 101, Denison, TX 75020 | 2016-06-05 |
1801255088 | Denison Dental Pllc | Dentist | 3515 West Fm 120, Denison, TX 75020 | 2016-02-17 |
Find all providers in zip 75020 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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1114531167 | Action Potential - Sports and Neurological Rehab, Pllc | Clinic/Center | 3816 S Lamar Blvd Apt 2712, Austin, TX 78704-7955 | 2020-09-06 |
1609480755 | Galloway Clinic Pllc | Clinic/Center | 1336 N Galloway Ave Ste 124a, Mesquite, TX 75149-2490 | 2020-09-06 |
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1093328981 | Caspian Medical Services | Clinic/Center | 10710 Kuykendahl Rd Ste 150, The Woodlands, TX 77381-2695 | 2020-08-28 |
1992318885 | Integra Assessments | Clinic/Center | 10710 Kuykendahl Rd Ste 175, The Woodlands, TX 77381-2695 | 2020-08-28 |
1912517426 | Med Cure Clinic | Clinic/Center | 102703 Alief Clodine Rd, Houston, TX 77082 | 2020-08-10 |
1538779145 | Family Choice Clinic, Inc. | Clinic/Center | 12808 W Airport Blvd Ste 260f, Sugar Land, TX 77478-6238 | 2020-08-07 |
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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.