BERONICA GOODWIN (NPI# 1497208250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497208250 |
Entity Type | Individual |
Full Name | BERONICA GOODWIN |
Practice Address |
1102b Suite #2 4th Ave Se Decatur AL 35601 |
Mailing Address |
937 Sewell Rd Trinity AL 35673-6625 |
Practice Telephone | 3568221300 |
Mailing Telephone | 2563459753 |
Enumeration Date | 2016-07-28 |
Last Update Date | 2016-07-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 374U00000X | Home Health Aide | 16395 | AL | Nursing Service Related Providers |
Street Address |
1102B SUITE #2 4TH AVE SE |
City | DECATUR |
State | AL |
Zip Code | 35601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
1336408830 | Mishanta Reyes | Obstetrics & Gynecology | 1215 7th St Se Fl 2, Decatur, AL 35601 | 2012-05-04 |
Find all providers in zip 35601 |
Taxonomy Code | 374U00000X |
Grouping | Nursing Service Related Providers |
Classification | Home Health Aide |
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750998506 | Shynalee Natividad Ayala | Home Health Aide | 410 Wesley Club Dr, Decatur, GA 30034-2328 | 2020-09-25 |
1336756303 | Dianne Jones | Home Health Aide | 1525 E Moore St, Decatur, IL 62521-2942 | 2020-09-24 |
1972079978 | James L Vinson, Phd | Home Health Aide | 4050 Snapfinger Woods Drive, Suite 201, Decatur, GA 30035 | 2018-10-17 |
1477061257 | Kelley Shynelle Thomas | Home Health Aide | 1730 Old Hickory St, Decatur, GA 30032-4356 | 2018-01-16 |
1144766718 | Laterrcka Farris | Home Health Aide | 652 W Olive St, Decatur, IL 62526-4055 | 2017-01-06 |
1821346859 | Lisa Perry | Home Health Aide | 2145 Candler Rd, Suite 1331, Decatur, GA 30032-5574 | 2012-08-23 |
1386865467 | Renewed Women | Home Health Aide | 1220 Renee Dr, Decatur, GA 30035-1056 | 2007-05-02 |
1659403822 | Wekare Placement Services | Home Health Aide | 4441 Covington Hwy, Decatur, GA 30035-1214 | 2007-03-12 |
1598792996 | Ace Persoanal Care Home | Home Health Aide | 2713 Neptune Pl, Decatur, GA 30034-1816 | 2006-06-28 |
1710318910 | Laketa Roberts | Home Health Aide | 3307 White Castle Dr, Decatur, GA 30034-5444 | 2013-12-12 |
Find all providers in DECATUR |
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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.