BRENDA F GOODALL (NPI# 1598377798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598377798 |
| Entity Type | Individual |
| Full Name | BRENDA F GOODALL |
| Practice Address |
629 Hawes Dr Charleston WV 25306-6511 |
| Practice Telephone | 3049266235 |
| Mailing Telephone | 3049266235 |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
629 HAWES DR |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25306-6511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083190 | Terri Lea James | Technician | 5810 Church Dr., Charleston, WV 25306 | 2020-11-03 |
| 1427656735 | Kisha Lanece James | Nurse Practitioner | 16 Red Mulberry Way Apt 3, Charleston, WV 25306-0107 | 2020-10-09 |
| 1598300279 | Breanne Marie Wiekamp | Physician Assistant | 20 Scarlet Oak Ln Apt 3, Charleston, WV 25306-1128 | 2019-11-17 |
| 1427656008 | Pamela Michelle Parsons | Technician | 5721 Midland Dr, Charleston, WV 25306-6031 | 2020-10-15 |
| 1679174957 | Shasta Lashea Evans | Technician | 5916 Starling Dr, Charleston, WV 25306-6045 | 2020-11-04 |
| 1669087557 | Marilyn Margaret Cook | Technician | 5808 Kanawha Blvd E, Charleston, WV 25306-6055 | 2020-09-09 |
| 1689940173 | Kimberly Hess | Physician Assistant | 5117 Midland Dr, Charleston, WV 25306-6239 | 2012-03-28 |
| 1083188759 | Kailey Garten | Specialist/Technologist | 5242 Kanawha Blvd E, Charleston, WV 25306-6256 | 2019-01-16 |
| 1750921987 | Kiley Rose Defibaugh | Occupational Therapist | 4906 Boxwood Dr, Charleston, WV 25306-6302 | 2020-01-15 |
| 1093355521 | Virginia Noemi Escobar-cheng | Physician Assistant | 310 Red Mulberry Way Apt 3, Charleston, WV 25306-6395 | 2020-01-13 |
| Find all providers in zip 25306 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063402 | Jovon Minimah-beane | Technician | 612 Virginia St E Ste 300, Charleston, WV 25301-2175 | 2020-11-06 |
| 1811598832 | Jessica Nogoda | Technician | 1002 Hillcrest Dr E, Charleston, WV 25311-1612 | 2020-11-05 |
| 1245831221 | Jeriaha Hall | Technician | 2511 Washington St E Apt C, Charleston, WV 25311-2316 | 2020-11-05 |
| 1679174957 | Shasta Lashea Evans | Technician | 5916 Starling Dr, Charleston, WV 25306-6045 | 2020-11-04 |
| 1184225476 | Darlene Lacy-carter | Technician | 1406 Milton Street, Charleston, WV 25311 | 2020-11-04 |
| 1851992135 | Shonda Latoya Leach | Technician | 821 Westminister Way, Charleston, WV 25314-2015 | 2020-11-04 |
| 1265033559 | Nancy Galvan | Technician | 4587 Kanawha State Forrest Dr., Charleston, WV 25314 | 2020-11-04 |
| 1093316424 | Emma Mccloud | Technician | 710 Colony Dr., Charleston, WV 25314 | 2020-11-03 |
| 1760083190 | Terri Lea James | Technician | 5810 Church Dr., Charleston, WV 25306 | 2020-11-03 |
| 1649871963 | Sha'la Wright | Technician | 713 Orchard Street Apt. G, Charleston, WV 25302 | 2020-11-03 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25306 |
Please comment or provide details below to improve the information on BRENDA F GOODALL.
| 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.