MRS. TRENA JILL GOODWIN (NPI# 1285704601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285704601 |
| Entity Type | Individual |
| Full Name | MRS. TRENA JILL GOODWIN |
| Credential | PMHCNS-BC, APRN |
| Practice Address |
10200 Alliance Rd Suite 150 Blue Ash OH 45242-4753 |
| Mailing Address |
9973 Timbers Dr Cincinnati OH 45242-5551 |
| Practice Telephone | 5138910650 |
| Mailing Telephone | 5137912046 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2016-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0807X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Adolescent |
RN.121852 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | PRESCRIPTIVE AUTHORITY | RX.01444 | 01 |
| OH | 2245145 | 05 |
| Street Address |
10200 ALLIANCE RD SUITE 150 |
| City | BLUE ASH |
| State | OH |
| Zip Code | 45242-4753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639626716 | Kristen Sigward | Speech-Language Pathologist | 10200 Alliance Rd, Suite 150, Blue Ash, OH 45242-4753 | 2016-09-06 |
| 1467718023 | Kathleen Lowes Haglage | Social Worker | 10200 Alliance Rd, Blue Ash, OH 45242-4753 | 2012-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162533 | D&c Enhanced Home Healthcare Agency | Licensed Practical Nurse | 10999 Reed Hartman Hwy Ste 326, Blue Ash, OH 45242 | 2020-10-21 |
| 1487251088 | Calvary Behavioral Health of Ohio, LLC | Community/Behavioral Health | 11974 State Route 42, Suite 240, Sharonville, OH 45242 | 2020-10-06 |
| 1093324352 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7745 Ivygate Lane, Cincinnati, OH 45242 | 2020-07-23 |
| 1265040554 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7172 Pfeiffer Road, Cincinnati, OH 45242 | 2020-07-22 |
| 1144838442 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 10519 Cinderella Drive, Cincinnati, OH 45242 | 2020-07-22 |
| 1841836830 | Alms Social Services | Community/Behavioral Health | 11071 Oak Avenue, Cincinnati, OH 45242 | 2019-11-25 |
| 1740839398 | Vibrant Care LLC | In Home Supportive Care | 1099 Reed Hartman Hwy, Suite 332, Cincinnati, OH 45242 | 2019-09-06 |
| 1902368988 | Twin Lakes | Assisted Living Facility | 9840 Montgomery Road, Attn: Lec Finance, Cincinnati, OH 45242 | 2019-04-01 |
| 1215496344 | Cathy L Rosenbaum | Pharmacist | 10274 Alliance Road, Blue Ash, OH 45242 | 2019-03-18 |
| 1841773181 | Accelerated Rehabilitation Centers Ltd | Physical Therapist | 9856 Montgomery Rd #300, Cincinnati, OH 45242 | 2018-09-12 |
| Find all providers in zip 45242 | ||||
| Taxonomy Code | 364SP0807X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518388644 | Nanci J Morris Rn Msn LLC | Clinical Nurse Specialist | 151 Mill St, # 104, Gahanna, OH 43230-1715 | 2013-12-16 |
| 1154578383 | Laura Jane Abels | Clinical Nurse Specialist | 150 N Miller Rd Ste 450a, Fairlawn, OH 44333-3773 | 2008-08-19 |
| 1790807006 | Toby Bourisseau | Clinical Nurse Specialist | 10524 Euclid Ave Ste 1155a, Cleveland, OH 44106-2205 | 2007-04-06 |
| 1598775306 | Charlotte Hannah | Clinical Nurse Specialist | 3095 Ketttering Blvd, Dayton, OH 45439 | 2006-08-08 |
| 1053741702 | Stephanie Noel Eggert | Clinical Nurse Specialist | 5642 Hamilton Ave, Cincinnati, OH 45224-3114 | 2013-11-16 |
| 1740628536 | Melissa Weisbrodt | Clinical Nurse Specialist | 3333 Burnet Ave, Ml 3014, Cincinnati, OH 45229-3026 | 2013-06-13 |
| 1265777460 | Kristina Fisher | Clinical Nurse Specialist | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2012-11-29 |
| 1619249000 | John J Adamo | Clinical Nurse Specialist | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2012-02-01 |
| 1306140785 | T B F Inc | Clinical Nurse Specialist | 6480 Crooked Elm Ct, Delaware, OH 43015-8462 | 2010-12-29 |
| 1831405828 | Patricia Cardona | Clinical Nurse Specialist | 901 Washington St, Portsmouth, OH 45662-3944 | 2010-08-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. TRENA JILL GOODWIN.
| 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.