TARA R GOODMAN (NPI# 1003102187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003102187 |
| Entity Type | Individual |
| Full Name | TARA R GOODMAN |
| Credential | ARNP |
| Practice Address |
1219 Main St Hamburg IA 51640-1300 |
| Practice Telephone | 7123822626 |
| Practice Fax Number | 7123821931 |
| Mailing Telephone | 7123822626 |
| Mailing Fax Number | 7123821931 |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2011-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
C107297 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1219 MAIN ST |
| City | HAMBURG |
| State | IA |
| Zip Code | 51640-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174595714 | Thomas Homer Largen | Family Medicine | 1219 Main St, Hamburg, IA 51640-1300 | 2006-02-07 |
| 1710347943 | Jennifer Leigh Black | Nurse Practitioner | 1219 Main St, Hamburg, IA 51640-1300 | 2016-03-01 |
| 1780905307 | Jaylene A Zanker | Physician Assistant | 1219 Main St, Hamburg, IA 51640-1300 | 2010-06-17 |
| 1124218706 | Medical Clinic PC | Family Medicine | 1219 Main St, Hamburg, IA 51640-1300 | 2007-07-30 |
| 1427164789 | Michael Ourada | Family Medicine | 1219 Main St, Hamburg, IA 51640-1300 | 2006-08-21 |
| 1891768024 | David Michael Owen | Nurse Practitioner | 1219 Main St, Hamburg, IA 51640-1300 | 2006-02-08 |
| 1285606731 | Kelli Elizabeth Woltemath | Family Medicine | 1219 Main St, Hamburg, IA 51640-1300 | 2006-02-07 |
| 1972575595 | Medical Clinic PC | Clinic/Center | 1219 Main St, Hamburg, IA 51640-1300 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487792131 | Kipley Verne Anderson | Registered Nurse | 2959 Hwy 275, Hamburg, IA 51640 | 2007-02-02 |
| 1730130428 | Hamburg Fire Protection Agency | Ambulance | 711 Main St, Hamburg, IA 51640-1164 | 2006-05-15 |
| 1215084645 | Hamburg C.s.d. | Local Education Agency (LEA) | 105 E St, Hamburg, IA 51640-1221 | 2007-01-05 |
| 1104992866 | Stoner Drug Co | Durable Medical Equipment & Medical Supplies | 1105 Main St, Hamburg, IA 51640-1233 | 2006-11-27 |
| 1841247699 | Southwest Iowa Medical Services Inc | Durable Medical Equipment & Medical Supplies | 1109 Main St, Hamburg, IA 51640-1233 | 2006-05-27 |
| 1770067779 | Megan Elizabeth Gardner | Pharmacist | 1105 Main St, Hamburg, IA 51640-1233 | 2018-09-17 |
| 1619164167 | Alegent Health Bergan Mercy Health System | Durable Medical Equipment & Medical Supplies | 1109 Main St, Hamburg, IA 51640-1233 | 2007-09-28 |
| 1467411355 | Hamburg Chiropractic Clinic PC | Chiropractor | 1108 Main St, Hamburg, IA 51640-1234 | 2006-03-21 |
| 1649249012 | Michael John Gallagher | Chiropractor | 1108 Main St, Hamburg, IA 51640-1234 | 2006-03-16 |
| 1578848594 | Timothy Allen Hendrickson | Licensed Practical Nurse | 1305 Bluff St, Hamburg, IA 51640-1345 | 2011-10-21 |
| Find all providers in zip 51640 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295010239 | Omega Health and Wellness LLC | Nurse Practitioner | 5893 Camp Rd, Suite 9, Hamburg, NY 14075-4470 | 2011-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455017 | Amy Danielle Dobberfuhl | Nurse Practitioner | 6833 Coburn Ln, Johnston, IA 50131-1243 | 2020-10-23 |
| 1326586249 | Abby Blacker | Nurse Practitioner | 10633 Nw 106th Ave, Granger, IA 50109-9775 | 2017-02-11 |
| 1457745986 | Amanda Larson | Nurse Practitioner | 420 12th St Se, Apt 16, Le Mars, IA 51031-2800 | 2015-03-23 |
| 1376951715 | Leslie Arends | Nurse Practitioner | 101 College of Nursing Building, 50 Newton Rd, Iowa City, IA 52242-1121 | 2014-07-29 |
| 1871928093 | Catherine Ann Roche | Nurse Practitioner | 5510 Utica Ridge Rd, Suite 100, Davenport, IA 52807-2946 | 2013-09-06 |
| 1063758605 | Blank Childrens Hospital | Nurse Practitioner | 6540 Ne 12th Ave, Pleasant Hill, IA 50327-8828 | 2013-01-01 |
| 1982984183 | Amanda Marie Ostergaard | Nurse Practitioner | 974 73rd Street, Suite 33, Windsor Heights, IA 50324-1026 | 2011-08-19 |
| 1831498146 | Julie Louise Ritland | Nurse Practitioner | 424 Kingbard Blvd, Waterloo, IA 50701-3056 | 2011-03-25 |
| 1033437140 | Teresa Dale Schenck | Nurse Practitioner | 400 N. 17th St, Teresa Schenck Dnp, Keokuk, IA 52632 | 2010-05-13 |
| 1538313614 | Susan E Rumelhart | Nurse Practitioner | 1243 20th St Sw, Cedar Rapids, IA 52404-1635 | 2008-11-16 |
| Find all providers with the same taxonomy | ||||
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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.