MRS. BETHANY SELLERS GOODMAN (NPI# 1972886273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972886273 |
| Entity Type | Individual |
| Full Name | MRS. BETHANY SELLERS GOODMAN |
| Credential | CPNP |
| Practice Address |
1350 Whitaker Ridge Dr Winston Salem NC 27106 |
| Mailing Address |
Po Box 751803 Charlotte NC 28275-1803 |
| Practice Telephone | 3367188000 |
| Practice Fax Number | 3367188011 |
| Mailing Telephone | 3367188000 |
| Mailing Fax Number | 3367188011 |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2013-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 5005377 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
5005377 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
216598 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7005808 | 05 |
| Street Address |
1350 WHITAKER RIDGE DR |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013991066 | David Scott Anderson | Pediatrics | 1350 Whitaker Ridge Dr, Winston Salem, NC 27106-4966 | 2005-12-02 |
| 1619599198 | Novant Medical Group, Inc. | Pediatrics | 1350 Whitaker Ridge Dr, Winston Salem, NC 27106-4966 | 2020-05-07 |
| 1578086179 | Alyssa Basen Light | Physician Assistant | 1350 Whitaker Ridge Dr, Winston Salem, NC 27106 | 2017-07-25 |
| 1710345533 | Julie Lorraine Saul | Registered Nurse | 1350 Whitaker Ridge Dr, Winston Salem, NC 27106-4966 | 2016-02-08 |
| 1134515596 | Novant Medical Group, Inc. | Psychiatry & Neurology | 1350 Whitaker Ridge Dr, Winston Salem, NC 27106-4966 | 2015-04-13 |
| 1689078032 | Danielle Nicole Harper | Counselor | 1350 Whitaker Ridge Dr, Winston Salem, NC 27106-4966 | 2014-10-14 |
| 1548516594 | Amanda Valentine | Registered Nurse | 1350 Whitaker Ridge Dr, Winston Salem, NC 27106-4966 | 2012-07-27 |
| 1255697744 | Cashe C Emory | Nurse Practitioner | 1350 Whitaker Ridge Dr, Winston Salem, NC 27106 | 2012-04-09 |
| 1003182015 | Soren Morgan Johnson | Pediatrics | 1350 Whitaker Ridge Dr, Winston Salem, NC 27106-4966 | 2012-03-24 |
| 1245545300 | Forsyth Medical Group, LLC | Pediatrics | 1350 Whitaker Ridge Dr, Winston Salem, NC 27106-4966 | 2010-08-13 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 27106 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| 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 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27106 |
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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.