DR. CHRISTA CHEYENNE GOODWIN (NPI# 1487159976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487159976 |
| Entity Type | Individual |
| Full Name | DR. CHRISTA CHEYENNE GOODWIN |
| Other Name | CHRISTA CHEYENNE MCKAHAN |
| Credential | DO |
| Practice Address |
7900 Lees Summit Rd Kansas City MO 64139-1236 |
| Practice Telephone | 8164044862 |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2019-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 2018020725 | MO | Allopathic & Osteopathic Physicians |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1487159976 | 05 |
| Street Address |
7900 LEES SUMMIT RD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64139-1236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396746244 | Angela L Barnett | Family Medicine | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 2005-08-02 |
| 1770183493 | Kaitlyn Suzanne Lickteig | Counselor | 7900 Lees Summit Rd, Kansas City, MO 64139-1246 | 2020-10-30 |
| 1265059042 | Ryan Tyler Johnson | Podiatrist | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 2020-06-29 |
| 1184253676 | Tasfia Ahmed | Student in an Organized Health Care Education/Training Program | 7900 Lees Summit Rd, Kansas City, MO 64139-1246 | 2020-04-06 |
| 1285263905 | Hai Song Kim | Student in an Organized Health Care Education/Training Program | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 2020-04-04 |
| 1003445990 | Matthew Timothy Myrick | Family Medicine | 7900 Lees Summit Rd, Kansas City, MO 64139-1246 | 2020-04-03 |
| 1598393720 | Logan Christine Hemme | Student in an Organized Health Care Education/Training Program | 7900 Lees Summit Rd, Kansas City, MO 64139-1246 | 2020-04-01 |
| 1346878493 | Annette K Anwander | Student in an Organized Health Care Education/Training Program | 7900 Lees Summit Rd, Kansas City, MO 64139-1246 | 2020-04-01 |
| 1134757354 | Haley Marie Kertz | Student in an Organized Health Care Education/Training Program | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 2020-04-01 |
| 1689202707 | Desztini Howard | Student in an Organized Health Care Education/Training Program | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 2020-04-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386843621 | State of Missouri | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15555 Little Blue Rd, Kansas City, MO 64139 | 2007-07-17 |
| 1225122518 | Patricia A Cyrus | Nurse Practitioner | 7900 Lee's Summit Rd, Kansas City, MO 64139 | 2006-10-03 |
| 1831126358 | Megan Marie Despain | Emergency Medicine | 7900 Lee's Summit Road, Truman Medical Center Lakewood, Kansas City, MO 64139 | 2006-06-28 |
| 1427513878 | Kirsten Anne Reilly | Pediatrics | 7900 Lee's Summit Road, Department of Community and Family Medicine, Kansas City, MO 64139 | 2019-02-08 |
| 1275078552 | Elizabeth Liu | Family Medicine | 7900 Lee's Summit Road, Kansas City, MO 64139 | 2016-12-22 |
| 1124355516 | Eric Tsai | Anesthesiology | 7900 Lee's Summit Road, Kansas City, MO 64139 | 2009-11-06 |
| 1487290185 | Hannah E Waight | Registered Nurse | 14001 E 87th St, Kansas City, MO 64139-1117 | 2019-11-18 |
| 1275956658 | Gail Byers | Psychologist | 9701 Leslie Ave, Kansas City, MO 64139-1135 | 2014-01-21 |
| 1821533399 | Courageous Home Care, LLC | In Home Supportive Care | 9609 Hocker St, Kansas City, MO 64139-1150 | 2016-12-19 |
| 1144775834 | Candy Lourens | Dietitian, Registered | 7600 Lees Summit Rd, Kansas City, MO 64139-1233 | 2016-08-23 |
| Find all providers in zip 64139 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750993093 | Alyssa Brown | Student in an Organized Health Care Education/Training Program | 1444 Grand Blvd Apt 1201, Kansas City, MO 64106-2975 | 2020-08-18 |
| 1093330599 | Tarek Haidar | Student in an Organized Health Care Education/Training Program | Research Medical Center / Goppert Family Medicine, 6675 Holmes Road, Ste 450, Kansas City, MO 64131 | 2020-06-10 |
| 1174142640 | John Price | Student in an Organized Health Care Education/Training Program | 12806 Lathrop Ave, Kansas City, KS 66109-1003 | 2020-04-14 |
| 1104454396 | Bryan Clements | Student in an Organized Health Care Education/Training Program | 3940 Genessee St, Kansas City, MO 64111-4105 | 2020-04-01 |
| 1699302729 | Molly Bliss | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd # Ms 4034, Kansas City, KS 66160-8500 | 2020-03-26 |
| 1205467578 | Tina Thanh Thuy Tran | Student in an Organized Health Care Education/Training Program | 5100 Grand Ave, Kansas City, MO 64112-2739 | 2020-01-27 |
| 1124659495 | Danni Gray | Student in an Organized Health Care Education/Training Program | 806 E 110th Ter, Kansas City, MO 64131-3543 | 2020-01-27 |
| 1841821113 | Shannon Rebecca Pulliam | Student in an Organized Health Care Education/Training Program | 3012 Charlotte St, Kansas City, MO 64109-1422 | 2020-01-27 |
| 1578194841 | Michael Peter Schooley | Student in an Organized Health Care Education/Training Program | 5414 N Mercier Ave, Kansas City, MO 64118-7821 | 2020-01-27 |
| 1023649399 | Jessica Hartzler | Student in an Organized Health Care Education/Training Program | 25 E 12th St Apt 1102, Kansas City, MO 64106-2342 | 2020-01-27 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64139 |
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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.