AMY D GOODMAN (NPI# 1942292701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942292701 |
| Entity Type | Individual |
| Full Name | AMY D GOODMAN |
| Credential | CRNA |
| Practice Address |
1375 Oakwood Ct San Luis Obispo CA 93401-5918 |
| Mailing Address |
Po Box 3037 Pinedale CA 93650-3037 |
| Practice Telephone | 9703795531 |
| Mailing Telephone | 9703795531 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2016-06-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 2974 | CA | Ambulatory Health Care Facilities |
| N | 367500000X | Nurse Anesthetist, Certified Registered | CRNA-183907 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | CRNA000233 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 100503782 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740846435 | Amy Goodman | Specialist | 1 Renaissance Sq Unit 20c, White Plains, NY 10601-3034 | 2019-05-17 |
| 1396039699 | Amy Goodman | Contractor | 2572 Abby Ln, Dover, PA 17315-4503 | 2011-06-03 |
| 1740303759 | Amy Beth Goodman | Speech-Language Pathologist | 972 Oak Hill Ct, Middlebury, IN 46540-9272 | 2007-04-06 |
| 1407400195 | Amy Elizabeth Goodman | Occupational Therapist | 1880 General George Patton Dr Ste 202b, Franklin, TN 37067-6429 | 2019-07-30 |
| 1225593791 | Amy Goodman | Student in an Organized Health Care Education/Training Program | 1325 Williams St, Adrian, MI 49221-2563 | 2019-02-08 |
| 1003206251 | Amy Goodman | Physician Assistant | 5115 Centre Ave, Pittsburgh, PA 15232-1301 | 2015-01-27 |
| 1265865414 | Amy Kay Goodman | Physician Assistant | 2383 Pate St N, Snellville, GA 30078-3250 | 2013-08-12 |
| 1740559327 | Amy Elizabeth Goodman | Counselor | 214 Bush River Dr, Farmville, VA 23901-3179 | 2011-12-28 |
| 1407980279 | Amy Goodman | Counselor | 819 Busse Hwy, Maine Center, Park Ridge, IL 60068-2360 | 2007-03-15 |
| 1841358033 | Amy Goodman | Social Worker | 83 Maiden Ln, 6th Floor, New York, NY 10038-4812 | 2006-12-04 |
| Street Address |
1375 OAKWOOD CT |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401-5918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619219516 | County of San Luis Obispo | Clinic/Center | 11950 Los Osos Valley Rd, Room: Counselor D, San Luis Obispo, CA 93405-6861 | 2013-03-19 |
| 1447435912 | Cal Poly Health Services | Clinic/Center | 1 Grand Ave Building 27, Cal Poly State University, San Luis Obispo, CA 93407-0000 | 2008-01-03 |
| 1750442653 | California Polytechnic State University At San Luis Obispo | Clinic/Center | Cal Poly Health Services, Grand Ave., San Luis Obispo, CA 93407 | 2006-12-13 |
| 1447321120 | Community Action Partnership of San Luis Obispo County, Inc. | Clinic/Center | 705 Grand Ave, San Luis Obispo, CA 93401-2639 | 2006-11-13 |
| 1750623229 | County of San Luis Obispo Drug and Alcohol Services | Clinic/Center | 277 South St Ste T, San Luis Obispo, CA 93401 | 2013-03-22 |
| 1396029435 | Spurlock Chiropractic Spinal Decompression Clinic, Inc | Clinic/Center | 1318 Garden St, San Luis Obispo, CA 93401-3916 | 2011-10-07 |
| 1902086150 | California Polytechnic State University At San Luis Obispo | Clinic/Center | 1 Grand Ave, San Luis Obispo, CA 93407-9000 | 2007-11-05 |
| 1326258203 | County of San Luis Obispo Drug and Alcohol Services | Clinic/Center | 2180 Johnson Ave, San Luis Obispo, CA 93401 | 2007-05-22 |
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| Find all providers with the same taxonomy | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
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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.