SUSANNA GOODELL-FIELDS (NPI# 1538671649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538671649 |
| Entity Type | Individual |
| Full Name | SUSANNA GOODELL-FIELDS |
| Practice Address |
100 E Normal Ave Kirksville MO 63501-4200 |
| Mailing Address |
509 E Mcpherson St Kirksville MO 63501-3664 |
| Practice Telephone | 8169165935 |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2017-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
100 E NORMAL AVE |
| City | KIRKSVILLE |
| State | MO |
| Zip Code | 63501-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407823545 | Brenda Craig Higgins | Nurse Practitioner | 100 E Normal Ave, Mckinney Center, Kirksville, MO 63501-4200 | 2006-03-08 |
| 1073136081 | Benjamin Briney | Specialist/Technologist | 100 E Normal Ave, Kirksville, MO 63501-4221 | 2020-05-26 |
| 1962055996 | Michael Chastain | Specialist/Technologist | 100 E Normal Ave, Kirksville, MO 63501-4221 | 2019-07-18 |
| 1184191025 | Chad Verdier | Student in an Organized Health Care Education/Training Program | 100 E Normal Ave, Kirksville, MO 63501-4221 | 2018-10-30 |
| 1326523317 | Grace Pepple | Student in an Organized Health Care Education/Training Program | 100 E Normal Ave, Kirksville, MO 63501-4200 | 2018-09-26 |
| 1780190181 | Brendan Boyle | Specialist/Technologist | 100 E Normal Ave, Kirksville, MO 63501-4200 | 2017-12-20 |
| 1164934279 | Ashley Rose | Specialist/Technologist | 100 E Normal Ave, Kirksville, MO 63501-4200 | 2017-10-30 |
| 1750800330 | Elizabeth Kathleen Rodell | Specialist/Technologist | 100 E Normal Ave, Kirksville, MO 63501-4200 | 2017-09-14 |
| 1316391790 | Morgan Locher | Specialist/Technologist | 100 E Normal Ave, 1219 Health Sciences Building, Kirksville, MO 63501-4200 | 2016-04-21 |
| 1578890869 | Truman State University | Nurse Practitioner | 100 E Normal Ave, Kirksville, MO 63501-4200 | 2009-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855642 | Tiffany Anna Athon | Pharmacist | Hy-vee Pharmacy, 500 N Baltimore, Kirksville, MO 63501 | 2020-06-11 |
| 1649829425 | Jillian Jo Pulis | Speech-Language Pathologist | 1300 S Cottage Ave, Kirksville, MO 63501 | 2019-09-05 |
| 1023662319 | Leah Dawn Murphy | Occupational Therapy Assistant | 1705 E La Harpe St, Kirksville, MO 63501 | 2019-07-25 |
| 1902302912 | Brittney Frances Snelling | Specialist/Technologist | 26820 State Hwy 11, Kirksville, MO 63501 | 2018-03-30 |
| 1063931434 | Kara Wehmeyer | Specialist/Technologist | 100 East Normal, Kirksville, MO 63501 | 2017-09-16 |
| 1285080796 | Hawkins Boone Mecham | General Practice | 407 S Main St # 2, Kirksville, MO 63501 | 2016-05-13 |
| 1003287848 | Lacosta Gaines | Nurse Practitioner | 1607 South Baltimore, Kirksville, MO 63501 | 2015-10-19 |
| 1427442573 | Madi Hoppe | Specialist/Technologist | 23571 Crest Trail, Kirksville, MO 63501 | 2015-03-26 |
| 1407247133 | High Hope Employment Services, Inc. | Day Training, Developmentally Disabled Services | 906 East Shepherd Avenue, Kirksville, MO 63501 | 2015-02-17 |
| 1497069694 | Ella Marie Callison | Physician Assistant | 1611 S Baltimore St Ste A, Kirksville, MO 63501 | 2010-07-29 |
| Find all providers in zip 63501 | ||||
| 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 |
|---|---|---|---|---|
| 1225651003 | John Dylan Pate | Student in an Organized Health Care Education/Training Program | 800 W Jefferson St, Kirksville, MO 63501-1443 | 2020-05-27 |
| 1720636939 | Kylie Hayes | Student in an Organized Health Care Education/Training Program | 113 E Washington St Ste 9, Kirksville, MO 63501-2987 | 2019-08-30 |
| 1225699481 | Nathan Joseph Conrad Needham | Student in an Organized Health Care Education/Training Program | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2019-06-27 |
| 1962975607 | Angela D Peper | Student in an Organized Health Care Education/Training Program | 800 W Jefferson St, Kirksville, MO 63501-1443 | 2019-01-04 |
| 1184191025 | Chad Verdier | Student in an Organized Health Care Education/Training Program | 100 E Normal Ave, Kirksville, MO 63501-4221 | 2018-10-30 |
| 1326523317 | Grace Pepple | Student in an Organized Health Care Education/Training Program | 100 E Normal Ave, Kirksville, MO 63501-4200 | 2018-09-26 |
| 1932683653 | Elizabeth Mary Roberts | Student in an Organized Health Care Education/Training Program | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2018-09-18 |
| 1205313152 | Joshua Moody | Student in an Organized Health Care Education/Training Program | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2018-07-24 |
| 1669993747 | Todd Nicholas Troxell | Student in an Organized Health Care Education/Training Program | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2017-06-29 |
| 1285164772 | Elizabeth Demaree | Student in an Organized Health Care Education/Training Program | 1316 Country Club Dr, Kirksville, MO 63501 | 2017-06-15 |
| Find all providers in KIRKSVILLE | ||||
| City | KIRKSVILLE |
| Zip Code | 63501 |
Please comment or provide details below to improve the information on SUSANNA GOODELL-FIELDS.
| 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.