MRS. GRETCHEN SHAY GOODMAN (NPI# 1356730048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356730048 |
| Entity Type | Individual |
| Full Name | MRS. GRETCHEN SHAY GOODMAN |
| Credential | AT, ATC |
| Practice Address |
350 Lafayette Ave Se Grand Rapids MI 49503-4656 |
| Mailing Address |
5646 Via Nuevo Dr Ne Rockford MI 49341-9404 |
| Practice Telephone | 6164568515 |
| Practice Fax Number | 6164568208 |
| Mailing Telephone | 6163345812 |
| Enumeration Date | 2015-01-18 |
| Last Update Date | 2015-01-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2601000770 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
350 LAFAYETTE AVE SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-4656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760481782 | Geoffrey A Sandman | Orthopaedic Surgery | 350 Lafayette Ave Se, 4th Floor, Grand Rapids, MI 49503-4656 | 2005-07-20 |
| 1497205140 | Lauren Elizabeth Tweedy | Occupational Therapist | 350 Lafayette Ave Se, Grand Rapids, MI 49503-4656 | 2016-10-06 |
| 1275903163 | Jennifer Herrick | Specialist/Technologist | 350 Lafayette Ave Se, Grand Rapids, MI 49503-4656 | 2015-10-05 |
| 1134514490 | Kevin Vandokkumburg | Physician Assistant | 350 Lafayette Ave Se, 4th Floor, Grand Rapids, MI 49503-4656 | 2015-04-03 |
| 1982098356 | Amber Wilson | Specialist/Technologist | 350 Lafayette Ave Se, Grand Rapids, MI 49503-4656 | 2015-03-24 |
| 1417380544 | Clayton J Jewell | Occupational Therapist | 350 Lafayette Ave Se, Grand Rapids, MI 49503-4656 | 2013-08-13 |
| 1437402542 | Mary Free Bed Hospital and Rehabiliation Center | Physical Therapist | 350 Lafayette Ave Se, Grand Rapids, MI 49503-4656 | 2012-10-26 |
| 1689927873 | Clarence J Verbrugge | Physical Therapist | 350 Lafayette Ave Se, Grand Rapids, MI 49503-4656 | 2012-10-25 |
| 1083972244 | Laura Miersen | Physical Therapist | 350 Lafayette Ave Se, Suite 500, Grand Rapids, MI 49503-4656 | 2012-04-25 |
| 1881952257 | Christopher Marshall Bajema | Physical Therapist | 350 Lafayette Ave Se, Suite 500, Grand Rapids, MI 49503-4656 | 2012-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720601818 | Sean Mandle | Specialist/Technologist | 213 Calkins Ave Se, Grand Rapids, MI 49506-1519 | 2020-05-22 |
| 1356806897 | Corey Joseph Strawser | Specialist/Technologist | 1531 Hillsboro Ave Se, Grand Rapids, MI 49546-9783 | 2019-02-08 |
| 1346704590 | Rachel Mae Smestad | Specialist/Technologist | 3360 Briggs Blvd Ne, Grand Rapids, MI 49525-2504 | 2019-01-22 |
| 1275023335 | Tyler Shear | Specialist/Technologist | 610 Maryland Ave Ne, Grand Rapids, MI 49505-6052 | 2018-05-15 |
| 1134626765 | Nathan Lutz | Specialist/Technologist | 2770 Knapp St Ne, Grand Rapids, MI 49525-4422 | 2018-04-10 |
| 1396252078 | Danielle K Brodberg | Specialist/Technologist | 2516 Normandy Dr Se Apt 302c, Grand Rapids, MI 49506-7947 | 2018-01-04 |
| 1396265294 | Brian Joseph William Killinger | Specialist/Technologist | 3860 Jupiter Ave, 160 Robinhood Dr Ne, Grand Rapids, MI 49525-4951 | 2017-06-21 |
| 1619404951 | Marcus Ribant | Specialist/Technologist | 18 Sunset Hills Ave Nw, Grand Rapids, MI 49534-5842 | 2017-05-17 |
| 1306397864 | John Bernal | Specialist/Technologist | 130 Fulton St W, #111, Grand Rapids, MI 49503-2682 | 2016-10-20 |
| 1588119127 | Jillian Kolster | Specialist/Technologist | 4820 Luxemburg St Se, Grand Rapids, MI 49546-3742 | 2016-08-24 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on MRS. GRETCHEN SHAY GOODMAN.
| 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.