MRS. MADONNA MASON GOODWIN


Address: 1300 Western Blvd, Raleigh, NC 27699-4285
Phone: 9198330800

MRS. MADONNA MASON GOODWIN (NPI# 1033323498) 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) 1033323498
Entity Type Individual
Full Name MRS. MADONNA MASON GOODWIN
Credential FNP-C
Practice Address 1300 Western Blvd
Raleigh
NC 27699-4285
Mailing Address 2109 Cool Springs Rd
Sanford
NC 27330-8642
Practice Telephone 9198330800
Practice Fax Number 9197150760
Mailing Telephone 9197767335
Enumeration Date 2007-05-09
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
46985 NC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC ANCC CREDENT 0284835 01
NC NURSING LISCENCE 46985 01

Office Location

Street Address 1300 WESTERN BLVD
City RALEIGH
State NC
Zip Code 27699-4285

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447235304 Lisa T. Newsome Dentist 1300 Western Blvd, Raleigh, NC 27606-2148 2005-12-13
1750904181 Jerry Ray Arnold Psychologist 1300 Western Blvd, Raleigh, NC 27606-2148 2020-05-20
1215401401 John Winters Baley Counselor 1300 Western Blvd, Raleigh, NC 27606-2148 2019-01-22
1437660586 Ignatius Nji Mbua Nurse Practitioner 1300 Western Blvd, Raleigh, NC 27606-2148 2017-10-17
1821465071 Douglas Benton Stanton Jr. Nurse Practitioner 1300 Western Blvd, Raleigh, NC 27606-2196 2015-08-24
1174934905 Melinda Lopez Social Worker 1300 Western Blvd, Raleigh, NC 27606-2148 2014-05-14
1710316500 Victoria Ramsey Nurse Practitioner 1300 Western Blvd, Raleigh, NC 27699-4285 2013-11-02
1154667798 Pamela Wheeler Norris Pharmacist 1300 Western Blvd, Raleigh, NC 27606-2148 2013-01-01
1982998092 Ashley Wilder Parsons Pharmacist 1300 Western Blvd, Raleigh, NC 27606-2148 2011-06-06
1992986095 John G Reed Pharmacist 1300 Western Blvd, Raleigh, NC 27606 2007-11-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093145864 Katherine Everett Health Educator 2108 Umstead Dr, Raleigh, NC 27699-0001 2013-11-15
1922246065 Peter Delaney Morris Preventive Medicine 2020 Yonkers Rd, Raleigh, NC 27699-0001 2009-01-28
1578722849 William David Joyner Dentist N C Correctional Institution for Women, 1034 Bragg St., Raleigh, NC 27699-0001 2008-06-03
1548459142 Clifford Austin Nelson Curtis Internal Medicine North Carolina Department of Corrections; 4287 Bragg St, Raleigh, NC 27699-0001 2007-10-18
1770539348 Pamela Louise1 Burch Social Worker 3024 Msc, Raleigh, NC 27699-0001 2006-05-25
1962653444 Peter Bertram Goodman Social Worker Dorothea Dix Hospital, 3601 Mail Service Center, Raleigh, NC 27699-0001 2008-10-02
1790946507 Ernest Graham Forrest Dentist 831 W Morgan St, Raleigh, NC 27699-0001 2008-06-24
1235390261 Vasznt Doshi Internal Medicine 831 W Morgan St, Raleigh, NC 27699-0001 2008-06-23
1639349699 Claretta B. Oshodi Pharmacist Dorothea Dix Hospital, 3601 Mail Service Cener, Raleigh, NC 27699-0001 2008-03-06
1033307657 Leslie Greeene Oakley Speech-Language Pathologist 319 Chapanoke Rd, Raleigh, NC 27699-0001 2007-10-09
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417558990 Munira Amirali Ward Nurse Practitioner 2617 Valley Haven Dr, Raleigh, NC 27603-3197 2020-11-03
1710598644 Nicole Dora Licato Nurse Practitioner 7200 Creedmoor Rd Ste 208, Raleigh, NC 27613-1711 2020-08-13
1316561178 Mintoria Lynette Stockton Nurse Practitioner 8332 Mcguire Dr, Raleigh, NC 27616-5682 2020-06-07
1700407103 Sadonna Marlene Sawyer Nurse Practitioner 3311 Grove Crabtree Cres Apt 122, Raleigh, NC 27613-3063 2020-04-27
1447879903 Christapher Frank Nurse Practitioner 2034 Wesvill Court, Suite 320, Raleigh, NC 28326 2020-04-14
1265065015 Shubham Tyagi Nurse Practitioner Duke Urgent Care Brier Creek, 10211 Alm Street Suite 1200, Raleigh, NC 27617-2761 2020-02-20
1073163812 Taylor Brooke Lawrence Nurse Practitioner 10208 Cerny St Ste 301, Raleigh, NC 27617-1000 2019-09-13
1811456320 Elizabeth Campbell Mcgrath Nurse Practitioner 2615 Lake Dr Ste 201, Raleigh, NC 27607-6694 2019-03-14
1922578541 Dorothy Nwizu Nurse Practitioner 608 Kavkaz St, Raleigh, NC 27610-3176 2018-11-26
1265900013 Patricia-marie Edge Odom Nurse Practitioner 3000 New Bern Ave Ste G100, Raleigh, NC 27610-1231 2018-11-09
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Competitor

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City RALEIGH
Zip Code 27699

Improve Information

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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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