MRS. JOAN MARIE GOODMAN


Address: 383 S. Park Ridge Rd., Ste 102, Bloomington, IN 47401-8574
Phone: 8123305250

MRS. JOAN MARIE GOODMAN (NPI# 1700065505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700065505
Entity Type Individual
Full Name MRS. JOAN MARIE GOODMAN
Credential RN.C., W.H.N.P.
Practice Address 383 S. Park Ridge Rd.
Ste 102
Bloomington
IN 47401-8574
Mailing Address 918 S. Meadowbrook Dr.
Bloomington
IN 47407-4233
Practice Telephone 8123305250
Practice Fax Number 8123305240
Mailing Telephone 8123322181
Mailing Fax Number 8123322189
Enumeration Date 2007-10-29
Last Update Date 2009-05-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 71000412A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
DRUG ENFORCEMENT ADMIN. MG0463694 01
IN IN PROFESSIONAL LICENSING AGENCY 71000412B 01
IN IND PROFESSIONAL LICENSIN 71000412B 01
DRUG ENFORCEMENT ADMINIST MG0463694 01

Other Providers JOAN GOODMAN

NPI Name Taxonomy Address Enumeration
1134672835 Joan F Goodman Psychologist 200 W Washington Sq, 3607, Philadelphia, PA 19106-3513 2016-07-28
1134457385 Joan Beth Goodman Social Worker 11300 Rockville Pike, #914, Rockville, MD 20852-3003 2009-11-30
1417919440 Joan D Goodman Radiology 1 Theall Rd, Rye, NY 10580-1404 2006-04-05

Office Location

Street Address 383 S. PARK RIDGE RD.
STE 102
City BLOOMINGTON
State IN
Zip Code 47401-8574

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740765791 Holly G Carter Physical Therapist 3607 Heirloom Dr, Bloomington, IN 47401 2018-09-26
1285116657 Kimberly D Bergan Occupational Therapist 3607 S Heirloom Dr, Bloomington, IN 47401 2018-09-03
1255836813 Erin Kathleen Sain Nurse Practitioner 326 W Woodcrest Drive, Bloomington, IN 47401 2018-03-27
1881104289 Ev Bloomington Limited Partnership Assisted Living Facility 3607 South Heirloom Drive, Bloomington, IN 47401 2017-10-11
1619496536 Kirsten N Neely Physical Therapist 2604 E. Creek's Edge Dr., Bloomington, IN 47401 2017-09-12
1023533908 Hoosier United Therapy Service LLC Physical Therapist 2801 E Plateau Place, Bloomington, IN 47401 2017-08-11
1194127381 Ann Marie Neeley Lactation Consultant, Non-RN 2458 South Walnut Street, Bloomington, IN 47401 2014-09-19
1518397801 Indiana Spine and Sports Inc. Chiropractor 418 S Walnut St Suite C, Bloomington, IN 47401 2013-11-22
1053654574 William Robblee Anderson Obstetrics & Gynecology 2625 E. Spicewood Ct., Bloomington, IN 47401 2013-04-03
1285979377 Jenna Marie Dale Optometrist 322 S. Woodcrest Drive Precision Eye Group, Bloomington, IN 47401 2012-11-30
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821615485 Denise Michelle Alexander Nurse Practitioner 815 West 2nd Street, Bloomington, IN 47403-2212 2020-06-30
1578198420 Jessica Ashley Wargo Nurse Practitioner 1319 N Veterans Pkwy Ste 3b, Bloomington, IL 61704-6428 2020-03-10
1598251175 Jacob Edward Lundorf Nurse Practitioner 2100 S Liberty Dr Ste B, Bloomington, IN 47403 2018-07-06
1275084170 Christina Lisowski Nurse Practitioner 2412 E Washington St Ste 4b, Bloomington, IL 61704-1613 2016-10-17
1528479771 Cura Medical Group, LLC Nurse Practitioner 13 Red Stone Ct, Bloomington, IL 61704-8403 2014-05-09
1790118586 Anastasia Kovalaske Nurse Practitioner 1401 Eastland Dr Suite B, Bloomington, IL 61761-3514 2013-08-15
1528342730 Theresa Rose Woodard Nurse Practitioner 3209 W Fullerton Pike Ste E, Bloomington, IN 47403-4060 2011-10-06
1205160975 Stacey Kaye England Nurse Practitioner 123 S Franklin Rd, Bloomington, IN 47404-5296 2009-09-28
1376638262 Rose M Seguin Nurse Practitioner 421 S College Ave, Bloomington, IN 47403-1514 2006-10-04
1396789210 Kimberly Nord Nurse Practitioner 1405 Eastland Dr, Bloomington, IL 61701-3514 2006-06-15
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City BLOOMINGTON
Zip Code 47401

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Dataset Information

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.

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