AMANDA JACKSON GOODWIN (NPI# 1093881393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093881393 |
| Entity Type | Individual |
| Full Name | AMANDA JACKSON GOODWIN |
| Credential | PAC |
| Practice Address |
600 W Walnut St Danville KY 40422-1309 |
| Practice Telephone | 8592385530 |
| Practice Fax Number | 8592385380 |
| Mailing Telephone | 8592385530 |
| Mailing Fax Number | 8592385380 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2016-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA912 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083048052 | Amanda J Goodwin | Chiropractor | 95 Cliftwood Dr, Suite C, Atlanta, GA 30328-4917 | 2013-08-27 |
| 1396754404 | Amanda M Goodwin | Physician Assistant | 5483 Gratiot Road, Saginaw, MI 48638-6037 | 2006-08-07 |
| 1588265409 | Amanda Goodwin | Speech-Language Pathologist | 510 Main St, Clayton, DE 19938-7716 | 2020-11-06 |
| 1245715747 | Amanda Goodwin | Family Medicine | 4400 Walnut St, Greenville, TX 75401-5586 | 2018-10-01 |
| 1326526104 | Amanda E. Goodwin | Counselor | 40 Beacon St E, Laconia, NH 03246-3437 | 2018-08-02 |
| 1265815773 | Amanda Lynn Goodwin | Speech-Language Pathologist | 494 W Central Ave, Delaware, OH 43015-1470 | 2015-07-01 |
| 1659797876 | Amanda Goodwin | Dietitian, Registered | 811 Church Rd, Cherry Hill, NJ 08002-1412 | 2014-03-12 |
| 1649313982 | Amanda Houston Goodwin | Social Worker | 501 Billingsley Road, Behavioral Health Center Cmc Randolph, Charlotte, NC 28211-1009 | 2007-02-15 |
| Street Address |
600 W WALNUT ST |
| City | DANVILLE |
| State | KY |
| Zip Code | 40422-1309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542394 | Mary Scott Bugg | Nurse Practitioner | 600 W Walnut St, Danville, KY 40422-1394 | 2020-09-15 |
| 1326405457 | Jamey Gay | Specialist/Technologist | 600 W Walnut St, Danville, KY 40422-1309 | 2016-01-20 |
| 1346606274 | T Y Fisher | Specialist/Technologist | 600 W Walnut St, Danville, KY 40422-1309 | 2016-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568098754 | Healthstat Onsite Clinic Centre College | Preventive Medicine | 851 West Walnut St, Danville, KY 40422 | 2020-03-19 |
| 1134772288 | Austin Simpson | Physician Assistant | 217 South 3rd Street, Danville, KY 40422 | 2019-07-18 |
| 1033677695 | Shannon Holland Erwin | Counselor | 475 W Main St Suite 160, Danville, KY 40422 | 2019-03-03 |
| 1225556871 | Fallon Michelle Carnes | Counselor | 106 Belinda Blvd., Danville, KY 40422 | 2017-09-05 |
| 1780124529 | Natasha Taylor | Counselor | 461 South 4th Street, Danville, KY 40422 | 2017-02-27 |
| 1184088890 | Elizabeth Love | Counselor | 108 Saint Josephs Ct, Danville, KY 40422 | 2016-04-08 |
| 1801274550 | Jeremy Tate Johnson | Specialist/Technologist | 1637 Perryville Rd., Boyle County High School, Danville, KY 40422 | 2015-05-14 |
| 1649602228 | Susan Hale Couzens | Dentist | 435 Whirlaway Dr, Danville, KY 40422 | 2013-08-06 |
| 1265751200 | William Paul Baas | Ophthalmology | 440 W. Martin L. King Blvd., Suite 100, Danville, KY 40422 | 2010-05-28 |
| 1780823666 | Karen Totsuka IIi | Speech-Language Pathologist | 642 Nth 3rd St, Danville, KY 40422 | 2009-02-17 |
| Find all providers in zip 40422 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699226928 | Matthew Stoker | Physician Assistant | 175 Northumberland Street, Ste. 100, Danville, PA 17821-1508 | 2016-10-21 |
| 1114197241 | Julie Ann Holycross | Physician Assistant | 1808 N Vermilion St, Danville, IL 61832-1726 | 2008-03-04 |
| 1346365350 | Diem T Tran | Physician Assistant | 400 El Cerro Blvd #204, Danville, CA 94526 | 2007-03-20 |
| 1053458976 | Leslie T Powell | Physician Assistant | 441-g Piney Forest Road, Danville, VA 24540-4154 | 2007-01-31 |
| 1518920339 | Elham M Zarnegar | Physician Assistant | 553 Sycamore Valley Rd W, Danville, CA 94526 | 2006-04-11 |
| 1407824329 | Kimberly A Pesarchick | Physician Assistant | 115 Woodbine Ln, Danville, PA 17821-9118 | 2006-03-08 |
| 1699757823 | Charles Edward Kober | Physician Assistant | 501 Rison St, Danville, VA 24541-2458 | 2005-11-15 |
| 1588289979 | Hannah Kathryn Rose Weber | Physician Assistant | 100 N Academy Ave, Danville, PA 17822-9800 | 2020-06-11 |
| 1366067662 | Ashley Nicole Gochenaur | Physician Assistant | 100 N Academy Ave, Danville, PA 17822-9800 | 2020-06-11 |
| 1972140093 | James Perhach | Physician Assistant | 100 N Academy Ave, Danville, PA 17822-9800 | 2019-12-09 |
| Find all providers in DANVILLE | ||||
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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.