STEPHANIE M. GODDARD


Address: 4692 Brownsboro Rd, Winston Salem, NC 27106-3410
Phone: 3362511114

STEPHANIE M. GODDARD (NPI# 1770554040) 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) 1770554040
Entity Type Individual
Full Name STEPHANIE M. GODDARD
Credential NP
Practice Address 4692 Brownsboro Rd
Winston Salem
NC 27106-3410
Practice Telephone 3362511114
Practice Fax Number 3362511117
Mailing Telephone 3362511114
Mailing Fax Number 3362511117
Enumeration Date 2006-01-27
Last Update Date 2012-04-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 201803 NC Physician Assistants & Advanced Practice Nursing Providers

Other Providers STEPHANIE GODDARD

NPI Name Taxonomy Address Enumeration
1922665363 Stephanie M Goddard Behavior Technician 17230 Jackson Creek Pkwy Ste 220, Monument, CO 80132-7304 2019-05-21
1104306646 Stephanie Goddard Physical Medicine & Rehabilitation 323 E Town St, Columbus, OH 43215-4767 2018-08-15
1720579642 Stephanie Ann Goddard Student in an Organized Health Care Education/Training Program 1415 Tulane Ave, New Orleans, LA 70112-2600 2018-05-26
1437539095 Stephanie Goddard Massage Therapist 1437 Kilauea Ave Ste 103, Hilo, HI 96720-4200 2015-06-08
1184861189 Stephanie Janine Goddard Social Worker 8967 Yellow Brick Rd, Rosedale, MD 21237 2009-01-13

Office Location

Street Address 4692 BROWNSBORO RD
City WINSTON SALEM
State NC
Zip Code 27106-3410

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376541581 Nagaraja Vishakantaiah Family Medicine 4692 Brownsboro Rd, Winston Salem, NC 27106-3410 2005-07-12
1700402674 Chelsey Rae Stovall Registered Nurse 4692 Brownsboro Rd, Winston Salem, NC 27106-3410 2020-06-17
1073147393 Kimberly Elizabeth Potter Nurse Practitioner 4692 Brownsboro Rd, Winston Salem, NC 27106-3410 2020-02-25
1417592080 Lee Yarber Nurse Practitioner 4692 Brownsboro Rd, Winston Salem, NC 27106-3410 2019-11-07
1669015202 Allona Frazier Nurse Practitioner 4692 Brownsboro Rd, Winston Salem, NC 27106-3410 2019-10-28
1063072130 Danielle Nichole Stovall Nurse Practitioner 4692 Brownsboro Rd, Winston Salem, NC 27106-3410 2019-06-19
1407314818 Erin Maeve Morrison Physician Assistant 4692 Brownsboro Rd, Winston Salem, NC 27106-3410 2019-03-05
1811467871 Karen Griffin Taylor Nurse Practitioner 4692 Brownsboro Rd, Winston Salem, NC 27106-3410 2018-12-03
1225527617 Cassandra Dawn Restrepo Nurse Practitioner 4692 Brownsboro Rd, Winston Salem, NC 27106 2018-05-01
1659880516 Jennifer Winn Powell Registered Nurse 4692 Brownsboro Rd, Winston Salem, NC 27106 2017-09-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437799103 Tyler Laura Lawrence Behavioral Analyst 1959 N Peace, 104, Winston-salem, NC 27106 2020-01-10
1316504624 Amanda Baker Behavior Technician 1959 N Peace Haven Rd, Suite 104, Winston Salem, NC 27106 2019-05-22
1679030316 Lavonda Williams Behavior Technician 1959 N Peace Haven Road, Winston Salem, NC 27106 2019-03-01
1518436708 Angela Ruth Brown Physical Therapy Assistant 190 Moravian Way Drive, Winston-salem, NC 27106 2018-11-16
1407378896 Applied Family Services of Winston-salem Early Intervention Provider Agency 4220 Witherow Rd, Winston Salem, NC 27106 2017-07-07
1750801676 Julia Ann Horton Speech-Language Pathologist 2000 Salemtowne Drive, Winston Salem, NC 27106 2017-06-21
1124548037 Tyler John Jones Community Health Worker 7014 Brandemere Ln. Apt F, Winston Salem, NC 27106 2017-06-21
1396274759 Jennifer Cui Social Worker 3216 Cross Tree Rd, Winston-salem, NC 27106 2017-06-08
1063947802 Rebecca Jeanette Mclemore Social Worker 4401 Providence Ln. #121, Top Priority Care Services, LLC., Winston-salem, NC 27106 2017-05-01
1720529357 Rising Hope Clinical Assistance, LLC Community/Behavioral Health 510 Northgate Park Dr, Winston Salem, NC 27106 2017-03-15
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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
1316567175 Fenny Apondi Okello Nurse Practitioner 4254 Paula Dr, Winston Salem, NC 27127-6820 2020-04-22
1659917615 Mh Medical Services, PC Nurse Practitioner 2415 S Stratford Rd Bldg 1, Winston Salem, NC 27103-6225 2019-11-25
1053957118 Mh Medical Services, PC Nurse Practitioner 950 Reynolds Blvd Bldg 611-12, Winston Salem, NC 27105-3450 2019-11-25
1548756547 Tracy Gaffney Nurse Practitioner 4134 Macarthur St, Winston Salem, NC 27107-6124 2018-07-03
1568958692 Heather Triplett Nurse Practitioner Medical Center Blvd Neurosurgery Clinic, Winston Salem, NC 27157-0001 2018-07-01
1619498987 Yolanda Enrich Nurse Practitioner 652 E Monmouth St, Winston Salem, NC 27107-3227 2017-06-27
1316483738 Julie Shaun Kozel Nurse Practitioner 656 E Monmouth St, Winston Salem, NC 27107-3227 2017-01-09
1578923199 Denise B Westendorf Nurse Practitioner 2680 Saint Johns Pl, Winston Salem, NC 27106-3830 2016-02-24
1568890705 Lourdes C Ramos Nurse Practitioner 650 Highland Ave Ste 120, Winston Salem, NC 27101-4304 2013-10-25
1063735504 Meredith Renae Clark Nurse Practitioner 605 Cotton St, Winston Salem, NC 27101-5080 2010-03-11
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Competitor

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City WINSTON SALEM
Zip Code 27106

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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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