MRS. AMANDA GOODWIN (NPI# 1245715747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245715747 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA GOODWIN |
| Credential | COTA |
| Practice Address |
4400 Walnut St Greenville TX 75401-5586 |
| Mailing Address |
250 Ravine St Emory TX 75440-2433 |
| Practice Telephone | 9034554618 |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2018-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
214317 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083048052 | Amanda J Goodwin | Chiropractor | 95 Cliftwood Dr, Suite C, Atlanta, GA 30328-4917 | 2013-08-27 |
| 1093881393 | Amanda Jackson Goodwin | Physician Assistant | 600 W Walnut St, Danville, KY 40422-1309 | 2006-11-28 |
| 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 |
| 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 |
4400 WALNUT ST |
| City | GREENVILLE |
| State | TX |
| Zip Code | 75401-5586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083673818 | Briarcliff Health Center of Greenville, Inc. | Skilled Nursing Facility | 4400 Walnut St, Greenville, TX 75401-5586 | 2006-03-21 |
| 1508474446 | Jennifer R Speulda | Nurse Practitioner | 4400 Walnut St, Greenville, TX 75401-5586 | 2020-07-16 |
| 1447804547 | Kinsey Elise Garner | Speech-Language Pathologist | 4400 Walnut St, Greenville, TX 75401-5586 | 2019-07-26 |
| 1194290205 | Rowena Megbuluba | Occupational Therapy Assistant | 4400 Walnut St, Greenville, TX 75401-5586 | 2018-10-04 |
| 1053886101 | Amanda Zachary | Speech-Language Pathologist | 4400 Walnut St, Greenville, TX 75401-5586 | 2018-10-04 |
| 1598249427 | James Dodson | Occupational Therapy Assistant | 4400 Walnut St, Greenville, TX 75401-5586 | 2018-09-17 |
| 1477036630 | Stephanie Buses | Occupational Therapist | 4400 Walnut St, Greenville, TX 75401-5586 | 2018-09-12 |
| 1891278685 | Erica Lynn Goss | Physical Medicine & Rehabilitation | 4400 Walnut St, Greenville, TX 75401-5586 | 2018-09-08 |
| 1518084458 | Victoria E Brooks | Physical Therapy Assistant | 4400 Walnut St, Greenville, TX 75401-5586 | 2007-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639653512 | Steven Wolanski | Occupational Therapy Assistant | Greenville Gardens Snf 3500 Park St., Greenville, TX 75401 | 2018-09-18 |
| 1184125460 | Heather Rae Hudson | Registered Nurse | 4911 Henry St, Greenville, TX 75401 | 2018-02-22 |
| 1154864742 | Kimberly Elaine Middleton | Nurse Practitioner | 4211 Joe Ramsey Blvd E Ste 105, Greenville, TX 75401 | 2016-11-30 |
| 1013373885 | Paul Brancheau | Podiatrist | 3900 Joe Ramsey Blvd E Bldg 5, Greenville, TX 75401 | 2016-01-11 |
| 1982079331 | Foresight Home Healthcare Incorporated | Home Health | 2102 Frazier Street, Greenville, TX 75401 | 2015-12-10 |
| 1083018451 | Johnny Sanders Jr. | Nurse's Aide | 1705 Northwest Hwy, Garland, TX 75401 | 2014-10-14 |
| 1942620299 | Robert Chandler Duckworth | Counselor | 4216 Wesley Street, Suite 700, Greenville, TX 75401 | 2014-04-24 |
| 1164843645 | Erica Rae Crawford | Psychologist | 3101 Joe Ramsey Boulevard, Suite 103a, Greenville, TX 75401 | 2013-12-30 |
| 1215225057 | Jordan Kelsi Mahan | Nurse Practitioner | 4101 Wesley St Ste D, Greenville, TX 75401 | 2011-07-14 |
| 1477888196 | Johnny Johnson | Physician Assistant | 4211 Joe Ramsey Blvd, Suite 100, Greenville, TX 75401 | 2009-10-14 |
| Find all providers in zip 75401 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699041160 | Sarah E Whitehead | Family Medicine | Paris View Family Medicine, 1028 North Church Street, Greenville, SC 29601-1639 | 2012-03-28 |
| 1982766283 | Balaji Pabbu | Family Medicine | 101 Heart Drive, Mail Stop 654, Greenville, NC 27834 | 2006-12-14 |
| 1922080787 | Reliant Geriatrics, Inc. | Family Medicine | 1200 Woodruff Rd Ste A3, Greenville, SC 29607-5732 | 2005-11-17 |
| 1043448509 | Betty Jane Lackey | Family Medicine | 255 Enterprise Blvd Ste 101, Greenville, SC 29615-3530 | 2009-06-23 |
| 1275715690 | Laurie Marie Theriot Roley | Family Medicine | 255 Enterprise Blvd, Suite 101, Greenville, SC 29615-6300 | 2007-11-27 |
| 1376555391 | Peter F Gray | Family Medicine | 4101 Wesley St, Suite D, Greenville, TX 75401-5635 | 2006-08-12 |
| 1679578082 | Peter F Gray Md Pa | Family Medicine | 4101 Wesley St, Ste D, Greenville, TX 75401-5635 | 2005-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494315 | Connie Davis | Family Medicine | 8135 Kenton St, Houston, TX 77028-4631 | 2020-10-16 |
| 1821604000 | Zn Healthcare Services, Pllc | Family Medicine | 2405 Barton Shore Dr, Pearland, TX 77584-3952 | 2020-09-22 |
| 1912516030 | Crystal Nichole Heads | Family Medicine | 7777 Katy Fwy Apt 353, Houston, TX 77024-2056 | 2020-07-24 |
| 1477176584 | Medicos En Casa | Family Medicine | 2500 E Price Rd Ste 500, Brownsville, TX 78521-3399 | 2020-05-22 |
| 1831723816 | Agape Housecalls Pa | Family Medicine | 1312 14th St Ste 101, Plano, TX 75074-6206 | 2020-02-27 |
| 1386294668 | P & P Care Pllc | Family Medicine | 8901 Ef Lowry Expwy, Ste B, Texas City, TX 77591 | 2019-09-18 |
| 1255811899 | Dr Rakhshi Hydari Pllc | Family Medicine | 13558 Mercedes Ln, Frisco, TX 75035-0649 | 2018-08-14 |
| 1265927016 | Geriatrics & Family Practice Associates of South Texas Pllc | Family Medicine | 888 S Greenville Ave Ste 102, Richardson, TX 75081-5052 | 2018-06-25 |
| 1841793312 | Hra Iq-tx LLC | Family Medicine | 4220 John Ct, Flower Mound, TX 75028-1144 | 2018-03-12 |
| 1891224184 | O.m. Medical House Call Mgmt Inc | Family Medicine | 1300 W Walnut Hill Ln Ste 155f, Irving, TX 75038-3032 | 2017-06-08 |
| Find all providers with the same taxonomy | ||||
| City | GREENVILLE |
| Zip Code | 75401 |
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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.