ELIZABETH H GOODWIN (NPI# 1447294590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447294590 |
Entity Type | Individual |
Full Name | ELIZABETH H GOODWIN |
Credential | CFNP |
Practice Address |
1421 N State St Suite 203 Jackson MS 39202-1658 |
Practice Telephone | 6013551234 |
Practice Fax Number | 6013263537 |
Mailing Telephone | 6013551234 |
Mailing Fax Number | 6013263537 |
Enumeration Date | 2006-06-16 |
Last Update Date | 2009-01-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R838632 | MS | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 00114550 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790122422 | Elizabeth A Goodwin | Counselor | 3659 S. Green Rd, 100, Beachwood, OH 44122 | 2013-06-04 |
1841452034 | Elizabeth A Goodwin | Psychologist | Psc 80 Box 10922, Apo, AP 96367-0012 | 2008-06-27 |
1043696172 | Elizabeth Goodwin | Nurse Practitioner | 97 Martin Luther King Jr Dr, Forsyth, GA 31029-1648 | 2015-07-30 |
1164782181 | Elizabeth K Goodwin | Social Worker | 511 28th Ave E, Seattle, WA 98112-4161 | 2012-05-23 |
1669742383 | Elizabeth T Goodwin | Counselor | 402 15th Ave Se Ste 100, Puyallup, WA 98372-3709 | 2012-01-11 |
1962650796 | Elizabeth Amanda Goodwin | Rehabilitation Practitioner | 456 Elm Ave, Long Beach, CA 90802-2426 | 2008-09-04 |
1154463503 | Elizabeth Mary Goodwin | Physical Therapist | 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 | 2007-02-13 |
1487698239 | Elizabeth Tanner Goodwin | Dentist | 1317 N Kings Hwy, Suite 106, Myrtle Beach, SC 29577-3636 | 2006-06-15 |
1306834064 | Elizabeth W Goodwin | Internal Medicine | 725 Glenwood Dr, Suite 690e, Chattanooga, TN 37404-1163 | 2005-10-07 |
Street Address |
1421 N STATE ST SUITE 203 |
City | JACKSON |
State | MS |
Zip Code | 39202-1658 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649268822 | Billy W Long | Internal Medicine | 1421 N State St, Suite 203, Jackson, MS 39202-1658 | 2005-10-11 |
1396011458 | Fresenius Medical Care Sw Jackson Home, LLC | Clinic/Center | 1421 N State St, Suite 501, Jackson, MS 39202-1658 | 2012-03-22 |
1730480286 | Melissa Jones | Registered Nurse | 1421 N State St, Suite 403, Jackson, MS 39202-1658 | 2010-11-14 |
1710288410 | Kerex LLC | Durable Medical Equipment & Medical Supplies | 1421 N State St, 505, Jackson, MS 39202-1658 | 2010-11-11 |
1144532391 | Mark Runnels | Urology | 1421 N State St, Ste 403, Jackson, MS 39202-1658 | 2010-07-03 |
1790911048 | Specialty Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1421 N State St, Suite 203, Jackson, MS 39202-1658 | 2009-06-01 |
1881849651 | Mary K Gravel | Nurse Anesthetist, Certified Registered | 1421 N State St, Suite 203, Jackson, MS 39202-1658 | 2008-11-20 |
1609043363 | Catherine B. Ramsey | Nurse Anesthetist, Certified Registered | 1421 N State St, Suite 203, Jackson, MS 39202-1658 | 2008-05-13 |
1427230168 | Fred L Mcmillan, Md, Pllc | Ophthalmology | 1421 N State St, Suite 503, Jackson, MS 39202-1658 | 2007-12-05 |
1679769491 | Allen Mcneil Haraway | Urology | 1421 N State St, Suite 400, Jackson, MS 39202-1658 | 2007-09-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982234183 | Eva Mackenzie Carmody | Physician Assistant | 1190 N State St Suite 502, Jackson, MS 39202 | 2020-01-16 |
1750868691 | Katherine Walters | Nurse Practitioner | 501 Marshall St., Suite 400, Jackson, MS 39202 | 2018-07-24 |
1932638749 | Tylan Lee | Social Worker | 860 East River Place Suite 100, Jackson, MS 39202 | 2017-06-06 |
1417314725 | Euna Jyles | Counselor | 860 E River Pl, Jackson, MS 39202 | 2016-01-19 |
1255712048 | Edward Jonathan Breight | Specialist/Technologist | 1325 East Fortication Street, Jackson, MS 39202 | 2015-06-17 |
1881037703 | Kara Spinks Logan | Surgery | 1190 N State St Ste 502, Jackson, MS 39202 | 2013-04-10 |
1477876530 | Mick Inc. | Technician | 334 Josanna Street, Suite #209, Jackson, MS 39202 | 2010-03-03 |
1073724910 | Paul Frederic Dare | Anesthesiology | 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 | 2007-05-24 |
1225247703 | Lynn Kincannon Holland | Counselor | 911 Manship Street, Unit A, Jackson, MS 39202 | 2007-05-22 |
1457568149 | Incare Inc | Pulmonary Function Technologist | 1151 North State St, Suite 406, Jackson, MS 39202 | 2007-05-16 |
Find all providers in zip 39202 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073113627 | Jessicah Blasdel | Nurse Practitioner | 113 W Michigan Ave, Jackson, MI 49201-1340 | 2020-10-31 |
1801406335 | Jade Russell | Nurse Practitioner | 2205 W Morrell St, Jackson, MI 49203-1357 | 2020-08-10 |
1992315212 | Patrecia Campbell | Nurse Practitioner | 2570 Bailey Ave Ste 7, Jackson, MS 39213-6905 | 2020-08-01 |
1669008926 | Kristine Edwards | Nurse Practitioner | 723 Woodlawn Ave, Jackson, MI 49203-2921 | 2020-03-19 |
1295366391 | Christy White | Nurse Practitioner | 363 Old Pinson Rd, Jackson, TN 38301-9576 | 2020-01-28 |
1972141620 | Primary Care - Bemis, LLC | Nurse Practitioner | 1385 S Highland Ave Ste B4, Jackson, TN 38301-7547 | 2019-12-12 |
1174164263 | Tami Anne Miller | Nurse Practitioner | 124 N Bast St, Jackson, MO 63755-1704 | 2019-10-01 |
1265080584 | Cameron Nicole Howard | Nurse Practitioner | 1860 Chadwick Dr Ste 256, Jackson, MS 39204-3486 | 2019-08-29 |
1831750843 | Rhiannon Michelle Andresen | Nurse Practitioner | 1022 Greystone Sq, Jackson, TN 38305-3580 | 2019-06-21 |
1902376361 | Jenay B Krumm | Nurse Practitioner | 1201 E Michigan Ave Ste 200, Jackson, MI 49201-1855 | 2018-11-28 |
Find all providers in JACKSON |
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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.