DR. AMY NICOLE GOODWINE (NPI# 1285698308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285698308 |
| Entity Type | Individual |
| Full Name | DR. AMY NICOLE GOODWINE |
| Credential | AU.D. |
| Practice Address |
3986 Fettler Park Dr Dumfries VA 22025-1997 |
| Mailing Address |
6700 Washington Ave S Eden Prairie MN 55344-3405 |
| Practice Telephone | 7032218307 |
| Practice Fax Number | 7032218548 |
| Mailing Telephone | 6123511529 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2019-04-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 231H00000X | Audiologist | 2201000658 | VA | Speech, Language and Hearing Service Providers |
| Y | 237600000X | Audiologist-Hearing Aid Fitter | 2101001172 | VA | Speech, Language and Hearing Service Providers |
| N | 237700000X | Hearing Instrument Specialist | 2101001172 | VA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010244919 | 05 | |
| VA | MEDICARE | 392788YGFF | 01 |
| Street Address |
3986 FETTLER PARK DR |
| City | DUMFRIES |
| State | VA |
| Zip Code | 22025-1997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699241810 | Calmay Audiology | Audiologist-Hearing Aid Fitter | 3986 Fettler Park Dr, Dumfries, VA 22025-1997 | 2018-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622230 | Joanne Perdu-ouimet | Behavioral Analyst | Incredible Changes, 4191 Waterway Dr., Dumfries, VA 22025 | 2020-09-04 |
| 1194287524 | Above and Beyond Therapy LLC | Speech-Language Pathologist | 15389 Autum Ln, Dumfries, VA 22025 | 2019-04-04 |
| 1669954095 | Renee L Roberts | Registered Nurse | 4222 Fortuna Center Plaza Ste 280, Dumfries, VA 22025 | 2018-09-01 |
| 1689044869 | Tracy Agyeman-badu | Pharmacist | 4310 Fortuna Village Center Plaza, Dumfries, VA 22025 | 2015-10-01 |
| 1588054316 | Tiffany Washington | Pharmacy Technician | 16224 Taconic Cir, Dumfries, VA 22025 | 2015-02-02 |
| 1568706158 | Boulevard Center Pediatrics | Pediatrics | 3733 Fettler Park Dr., Dumfries, VA 22025 | 2012-11-20 |
| 1205111796 | Khanh T Le | Pharmacist | 17506 Cajun Ct, Dumfries, VA 22025 | 2011-10-15 |
| 1679737761 | Shailesh K Gohel | Pediatrics | 3733 Fettler Park Dr, Dumfries, VA 22025 | 2008-07-17 |
| 1376616268 | Douglas Kendrick Chan | Physical Therapist | 3767 Fettler Park Drive, Dumfries, VA 22025 | 2006-11-16 |
| 1861596454 | Paul Wells Conrad | Dentist | 16150 Country Club Drive, Dumfries, VA 22025 | 2006-09-12 |
| Find all providers in zip 22025 | ||||
| Taxonomy Code | 237600000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist-Hearing Aid Fitter |
| An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual’s hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as "audiologist-hearing aid fitters" as opposed to states that license individuals as "audiologists". |
| Notes: Source: American Academy of Audiology, 1735 N. Lynn St, Suite 950, Arlington VA 22209, (800)AAA-2336) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699241810 | Calmay Audiology | Audiologist-Hearing Aid Fitter | 3986 Fettler Park Dr, Dumfries, VA 22025-1997 | 2018-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881207751 | Alyssa L Bhat | Audiologist-Hearing Aid Fitter | 7601 Forest Ave Ste 331, Richmond, VA 23229-4933 | 2020-08-28 |
| 1073163713 | Wagoner LLC | Audiologist-Hearing Aid Fitter | 4660 Kenmore Ave Ste 409, Alexandria, VA 22304-1306 | 2019-09-15 |
| 1508410044 | A&a Hearing Group, LLC | Audiologist-Hearing Aid Fitter | 7601 Forest Ave 311, Richmond, VA 23229 | 2019-08-01 |
| 1982112207 | Annette Ellen Byer-mcfadden | Audiologist-Hearing Aid Fitter | 560 W Indian Valley Rd, Covington, VA 24426-2803 | 2018-01-22 |
| 1982116232 | A&a Hearing Group, LLC | Audiologist-Hearing Aid Fitter | 1302 Lee St Ste B, West Point, VA 23181 | 2017-10-26 |
| 1831601202 | A&a Hearing Group, LLC | Audiologist-Hearing Aid Fitter | 4812 Southpoint Pkwy, Fredericksburg, VA 22407-2658 | 2017-10-25 |
| 1962911727 | Chanel Rogers | Audiologist-Hearing Aid Fitter | 2913 Valley Ave Ste 150, Winchester, VA 22601-2688 | 2017-09-25 |
| 1285158758 | Jennifer Paige Williams | Audiologist-Hearing Aid Fitter | 8700 Stony Point Parkway, Suite 110, Richmond, VA 23225 | 2017-07-27 |
| 1023548096 | A&a Hearing Group, LLC | Audiologist-Hearing Aid Fitter | 4100 W Hundred Rd, Chester, VA 23831-1760 | 2017-06-13 |
| 1871023861 | A&a Hearing Group, LLC | Audiologist-Hearing Aid Fitter | 2144 Plainview Ctr, Powhatan, VA 23139-5756 | 2017-06-13 |
| 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.