SALLY GOODHILE (NPI# 1619393568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619393568 |
| Entity Type | Individual |
| Full Name | SALLY GOODHILE |
| Practice Address |
31 Lake St Gardner MA 01440-3879 |
| Practice Telephone | 9786324432 |
| Practice Fax Number | 9786326022 |
| Mailing Telephone | 9786324432 |
| Mailing Fax Number | 9786326022 |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2014-03-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 5211 | MA | Other Service Providers |
| Y | 174H00000X | Health Educator | 5211 | MA | Other Service Providers |
| Street Address |
31 LAKE ST |
| City | GARDNER |
| State | MA |
| Zip Code | 01440-3879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962412841 | Kathy Lynn Hall | Counselor | 31 Lake St, Suite 110, Gardner, MA 01440-3879 | 2006-08-09 |
| 1386149359 | Elizabeth Jane Ledeboer | Speech-Language Pathologist | 31 Lake St, Gardner, MA 01440-3879 | 2018-03-29 |
| 1558866921 | Julie Ann Blake | Health Educator | 31 Lake St, Gardner, MA 01440-3879 | 2018-03-28 |
| 1669974960 | Karen Jay Brocksmith | Developmental Therapist | 31 Lake St, Gardner, MA 01440-3879 | 2018-03-02 |
| 1295237758 | Sarah Doiron | Speech-Language Pathologist | 31 Lake St, Gardner, MA 01440 | 2018-03-01 |
| 1750883328 | April Lynne Saner | Developmental Therapist | 31 Lake St, Gardner, MA 01440-3879 | 2018-02-28 |
| 1568917094 | Colby L Monette | Counselor | 31 Lake St, Gardner, MA 01440-3879 | 2016-08-25 |
| 1083167720 | Mary Ann Cynthia Kairouz | Counselor | 31 Lake St, Gardner, MA 01440-3879 | 2016-07-29 |
| 1720445406 | Melanie M Barber | Social Worker | 31 Lake St, Gardner, MA 01440-3879 | 2016-01-26 |
| 1538524780 | Amanda Gallant | Day Training/Habilitation Specialist | 31 Lake St, Gardner, MA 01440-3879 | 2015-12-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433804 | Charles C Anderson | Counselor | 171 Graham St., Gardner, MA 01440 | 2020-09-26 |
| 1528563392 | Seth Adam Wytrwal | Chiropractor | 31 Lake St Ste 151, Gardner, MA 01440 | 2018-03-26 |
| 1184141632 | Diane M. Wilson | Counselor | 205 School St. #202, Gardner, MA 01440 | 2017-08-25 |
| 1346778511 | Bonnie Jean Wallace | Counselor | 205 School St., # 202, Gardner, MA 01440 | 2017-05-31 |
| 1598212144 | Simon Hawes | Social Worker | 6 Lake Street, Gardner, MA 01440 | 2016-09-01 |
| 1932555349 | Trinity Home Healthcare LLC | Home Health | 62 Parker Street. Suite 11, Gardner, MA 01440 | 2016-05-05 |
| 1811247208 | Laurie Anne Richard | Licensed Practical Nurse | 17 Tobey Street, Gardner, MA 01440 | 2012-09-13 |
| 1568739829 | Gaamha, Inc | Non-emergency Medical Transport (VAN) | 208 Coleman St. Ext., Gardner, MA 01440 | 2011-11-30 |
| 1275821522 | Marie Edith Woodard | Speech-Language Pathologist | 31 Lake St. Suite 180, Wachusett Criterion Early Intervention, Gardner, MA 01440 | 2011-07-20 |
| 1962725747 | Antonina Salvatrice Klauzinski | Nurse Practitioner | 32 Hospital Hill Rd., Gardner, MA 01440 | 2010-03-08 |
| Find all providers in zip 01440 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558866921 | Julie Ann Blake | Health Educator | 31 Lake St, Gardner, MA 01440-3879 | 2018-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596117 | Tinischa Lahens | Health Educator | 5 Middlesex Ave Fl 1, Somerville, MA 02145-1102 | 2020-10-19 |
| 1770193401 | Unitedhealthcoach | Health Educator | 632 Massachusetts Ave Apt 510, Cambridge, MA 02139-3339 | 2020-08-06 |
| 1336775691 | Conner Erickson | Health Educator | 25 Ethel Ave, Peabody, MA 01960-5308 | 2020-03-19 |
| 1831721711 | Cynthia Caridad Diaz | Health Educator | 128 Union St Ste 204, New Bedford, MA 02740-6376 | 2020-02-07 |
| 1073159091 | Kristen Couture | Health Educator | 681 Falmouth Rd Ste D22, Mashpee, MA 02649-6314 | 2019-11-25 |
| 1275184186 | Karen Anne Alarie | Health Educator | 56 Oakwood Ave, Sudbury, MA 01776-1580 | 2019-09-23 |
| 1497301576 | Allison M Nichols | Health Educator | 92 Gaston St, Medford, MA 02155-1220 | 2019-08-14 |
| 1407402878 | Esha Shah | Health Educator | 215 Corning Fairbanks Way, Westborough, MA 01581-1875 | 2019-08-12 |
| 1861058109 | Ashley Lynn Bennett | Health Educator | 214 Fellsway W Apt 2, Medford, MA 02155-2062 | 2019-05-13 |
| 1588126775 | Olga Mitelman | Health Educator | 33 Sleeper St Apt 405, Boston, MA 02210-1203 | 2019-04-05 |
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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.