LISA ANN GOODMAN (NPI# 1952712374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952712374 |
| Entity Type | Individual |
| Full Name | LISA ANN GOODMAN |
| Other Name | LISA ANN MEDLIN |
| Credential | CRNP |
| Practice Address |
470 Taylor Rd Suite 202 Montgomery AL 36117-3563 |
| Mailing Address |
301 Brown Springs Rd Montgomery AL 36117-7005 |
| Practice Telephone | 3342446773 |
| Practice Fax Number | 3342444234 |
| Mailing Telephone | 3342734508 |
| Mailing Fax Number | 3342734290 |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
1-066578 | AL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528403011 | Lisa Michelle Goodman | Speech-Language Pathologist | 111 Belle Meade Ct, Benson, NC 27504-9268 | 2013-05-09 |
| 1154403384 | Lisa Kingsbury Goodman | Chiropractor | 1313 S. Clarkson St., Unit 1, Denver, CO 80210-2284 | 2006-10-19 |
| 1851924435 | Lisa Goodman | Nurse Practitioner | 8111 S Emerson Ave Fl 5, Indianapolis, IN 46237-8601 | 2020-02-21 |
| 1770121386 | Lisa Ann Goodman | Counselor | 2000 Waterdam Plaza Dr Ste 240, Canonsburg, PA 15317-5411 | 2019-12-13 |
| 1467975631 | Lisa Goodman | Behavioral Analyst | 1071 Valley Rd, Stirling, NJ 07980-1523 | 2017-07-19 |
| 1851718589 | Lisa Goodman | Technician, Other | 474 W 200 N, St George, UT 84770-4505 | 2014-03-19 |
| 1871887208 | Lisa Goodman | Pharmacist | 605 Boston Post Rd E, T-2570, Marlborough, MA 01752-3702 | 2011-06-02 |
| 1417139783 | Lisa D. Goodman | Social Worker | 543 Valley Rd, Suite 9, Montclair, NJ 07043-1881 | 2007-11-28 |
| 1619079522 | Lisa A. Goodman | Pediatrics | 275 W Macarthur, Oakland, CA 94611-5641 | 2006-09-01 |
| 1689661548 | Lisa Ellen Goodman | Counselor | 125 Main St, #601, Bradford, PA 16701-2025 | 2005-10-05 |
| Street Address |
470 TAYLOR RD SUITE 202 |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36117-3563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457357311 | Cheryl G Fekete | Pediatrics | 470 Taylor Rd, Suite 210, Montgomery, AL 36117-3563 | 2005-06-24 |
| 1770027146 | Wesley J. Jones | Nurse Anesthetist, Certified Registered | 470 Taylor Rd, Montgomery, AL 36117-3563 | 2016-12-05 |
| 1841655172 | Montgomery Surgery Specialists | Clinic/Center | 470 Taylor Rd, Suite 202, Montgomery, AL 36117-3563 | 2015-12-31 |
| 1700256351 | Katie Sanderson Carter | Nurse Practitioner | 470 Taylor Rd, Suite 300, Montgomery, AL 36117-3563 | 2015-09-25 |
| 1700291879 | Preet Kiran | Family Medicine | 470 Taylor Rd, Suite 310, Montgomery, AL 36117-3563 | 2014-06-26 |
| 1467866624 | Pain Treatment Centers of Alabama, PC | Pain Medicine | 470 Taylor Rd, Suite 201, Montgomery, AL 36117-3563 | 2014-06-16 |
| 1811232887 | Zahra Daftarian | Nurse Practitioner | 470 Taylor Rd, Suite 310, Montgomery, AL 36117-3563 | 2012-12-03 |
| 1013287648 | The Health Care Authority for Baptist Health, An Affiliate of Uabhs | Urology | 470 Taylor Rd, Suite 202, Montgomery, AL 36117-3563 | 2012-01-12 |
| 1679864870 | Vernishia Hill-graham | Family Medicine | 470 Taylor Rd, Suite 310, Montgomery, AL 36117-3563 | 2011-04-22 |
| 1144529686 | The Health Care Authority for Baptist Health, An Affiliate of Uabhs | Family Medicine | 470 Taylor Rd, Suite 310, Montgomery, AL 36117-3563 | 2011-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061307 | Bhg Lxxiii, LLC | Clinic/Center | 1714 Platt Place, Montgomery, AL 36117 | 2020-10-22 |
| 1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
| 1417421496 | Tiffany Webb | Specialist | 411 Twain Curve, E, Montgomey, AL 36117 | 2019-01-14 |
| 1013485374 | Montgomery Orthodontic Specialists | Dentist | 5833 Carmichael Road, Montgomery, AL 36117 | 2018-11-05 |
| 1770050791 | Blair Henderson Parks | Speech-Language Pathologist | 7088 University Court, Montgomery, AL 36117 | 2018-10-29 |
| 1629557822 | Evelyn F Crayton | Dietitian, Registered | 124 Elm Dr, Montgomery, AL 36117 | 2018-08-08 |
| 1194203414 | Coopers Mental Healh Consultations | Psychologist | 8743 Ridgestone Ct, Montgomery, AL 36117 | 2018-07-30 |
| 1063912301 | Gardenia Cove Mental Health PC | Psychiatry & Neurology | 6771 Taylor Circle, Montgomery, AL 36117 | 2018-02-13 |
| 1760900294 | Montgomery Auburn Homecare LLC | In Home Supportive Care | 2569 Bell Rd, Montgomery, AL 36117 | 2017-09-05 |
| 1336667120 | Alyssa Bryanna Swisher | Chiropractor | 2026 Berryhill Road, Montgomery, AL 36117 | 2017-09-01 |
| Find all providers in zip 36117 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386717429 | Raynee Celeste Teetor | Registered Nurse | 10550 Montgomery Rd Ste 23, Montgomery, OH 45242-4422 | 2006-11-16 |
| 1023617016 | Latoshia Donald | Registered Nurse | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2020-10-20 |
| 1992869051 | Karen Denise Kelker | Registered Nurse | 3060 Mobile Hwy, Montgomery, AL 36108-4027 | 2006-12-21 |
| 1043221161 | Kimberly Ann Hindi | Registered Nurse | 1801 Pine St, Ste 302, Montgomery, AL 36106-0165 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900557 | Shean Polony | Registered Nurse | 138 Bridgemill Ave, Madison, AL 35756-2619 | 2020-10-23 |
| 1932729399 | Amelia Garrett Williamson | Registered Nurse | 1813 Le Grande Dr, Mobile, AL 36618-1622 | 2020-04-25 |
| 1053950337 | Deanna Brewer Morrison | Registered Nurse | 535 Jack Warner Pkwy Ne Ste K, Tuscaloosa, AL 35404-5715 | 2020-01-03 |
| 1144883232 | Kay-ann Nickeisha Mclean | Registered Nurse | 250 Chateau Dr Sw Ste 215, Huntsville, AL 35801-3497 | 2019-04-15 |
| 1053833855 | Robin J Marks | Registered Nurse | 5332 Wilhelm Dr, Mobile, AL 36618-2428 | 2017-07-13 |
| 1255720348 | Angela Rene' Pontius | Registered Nurse | Zrb 239, 1720 2nd Avenue South, Birmingham, AL 35294-0007 | 2015-01-13 |
| 1477804425 | Lucille Denise Rudolph | Registered Nurse | 659 Oak Hill Rd, Mobile, AL 36609-5914 | 2012-09-29 |
| 1932491131 | Ramsey Paulk Shubert | Registered Nurse | 340 Cox Blvd, Sheffield, AL 35660-4020 | 2011-05-05 |
| 1366043226 | Tiffany Sanquits Fields | Registered Nurse | 2400 Hospital Rd, Tuskegee, AL 36083-5001 | 2020-11-05 |
| 1568061422 | Genesis Morgan | Registered Nurse | 1802 6th Ave S, Birmingham, AL 35233-1932 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY |
| Zip Code | 36117 |
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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.