ANGELA K GOODBODY (NPI# 1487985966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487985966 |
| Entity Type | Individual |
| Full Name | ANGELA K GOODBODY |
| Credential | APRN |
| Practice Address |
3124 Numana Rd Honolulu HI 96819-2908 |
| Practice Telephone | 8087229175 |
| Practice Fax Number | 8088323538 |
| Mailing Telephone | 8087229175 |
| Mailing Fax Number | 8088323538 |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2010-01-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APRN 428 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | HAWAII MEDICAL SERVICE ASSOCIATION | 240630 | 01 |
| Street Address |
3124 NUMANA RD |
| City | HONOLULU |
| State | HI |
| Zip Code | 96819-2908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619507621 | Corrie Sanders | Pharmacist | 450 Patterson Rd, Honolulu, HI 96819 | 2020-01-17 |
| 1245870526 | Ouida Searay Vaillancourt | Dental Hygienist | 339 Mongomery Ave, Honolulu, HI 96819 | 2020-01-14 |
| 1942852660 | Kolea Home Care | In Home Supportive Care | 2229 Kula Kolea Drive, Honolulu, HI 96819 | 2019-07-12 |
| 1164957882 | Kathleen Oliver | Student in an Organized Health Care Education/Training Program | 2229 North School St., Kokua Kalihi Valley Health Center, Honolulu, HI 96819 | 2017-05-01 |
| 1720436058 | Aaron Taniguchi | Physical Therapist | 1740 Ala Aolani St, Honolulu, HI 96819 | 2016-05-26 |
| 1770940892 | Tracy Lynne Khan Fernando | Nurse Practitioner | 2239 N. School St., Kokua Kalihi Valley, Honolulu, HI 96819 | 2016-01-20 |
| 1275961385 | Gavino T. Vinzons M.d, Inc | Family Medicine | 2055 N. King St. Ste 102, Honolulu, HI 96819 | 2013-10-29 |
| 1407195118 | Candace Adeline Schumacher | Licensed Vocational Nurse | 1460 Ala Aolani, Honolulu, HI 96819 | 2013-02-01 |
| 1750629556 | Benjamin L Kilinski | Nurse Practitioner | 1803 Kamehameha Iv Road, Honolulu, HI 96819 | 2013-01-29 |
| 1366701047 | Doreen Anela Oura Ramseyer | Case Manager/Care Coordinator | 1130 N. Nimitz Hwy., C-301, Honolulu, HI 96819 | 2012-05-15 |
| Find all providers in zip 96819 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578000899 | Katrina Lu | Nurse Practitioner | 521 Ala Moana Blvd, Honolulu, HI 96813-4913 | 2017-01-24 |
| 1912373705 | Laura Reichhardt | Nurse Practitioner | 3166 Alika Ave, Honolulu, HI 96817-1103 | 2015-08-14 |
| 1134473366 | Carl T Pitre | Nurse Practitioner | 1329 Lusitana St Ste 609, Honolulu, HI 96813-2431 | 2012-11-09 |
| 1508199365 | Justin Eric Henderson | Nurse Practitioner | 619 Kapahulu Ave, Ph, Honolulu, HI 96815-3853 | 2009-09-11 |
| 1043427552 | Julie Graham | Nurse Practitioner | 547 12th Ave, Honolulu, HI 96816-2244 | 2007-05-16 |
| 1851480701 | Christella Guzman | Nurse Practitioner | 932 Ward Ave Fl 6, Honolulu, HI 96814-2131 | 2006-10-11 |
| 1083108039 | Paula Marie Paulsen | Nurse Practitioner | 550 S Beretania St Ste 601, Honolulu, HI 96813-2423 | 2018-06-21 |
| 1831690858 | Lindsay Taguma | Nurse Practitioner | 2230 Liliha St, Honolulu, HI 96817-1646 | 2018-02-25 |
| 1356853527 | Christina Marie Beyers Wang | Nurse Practitioner | 677 Ala Moana Blvd Ste 226, Honolulu, HI 96813-5416 | 2017-10-27 |
| 1639609068 | Judy Ko | Nurse Practitioner | 1329 Lusitana St Ste 307, Honolulu, HI 96813-2435 | 2017-06-18 |
| Find all providers in HONOLULU | ||||
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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.