SHONDESHA GOODMAN (NPI# 1386201762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386201762 |
| Entity Type | Individual |
| Full Name | SHONDESHA GOODMAN |
| Practice Address |
612 Ashley Ave Suffolk VA 23434-5904 |
| Practice Telephone | 7573716533 |
| Practice Fax Number | 7578090691 |
| Mailing Telephone | 7573716533 |
| Mailing Fax Number | 7578090691 |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376K00000X | Nurse's Aide | 0031010685 | VA | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 824529499 | 05 |
| Street Address |
612 ASHLEY AVE |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23434-5904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235780255 | Chiquita Savage | Home Health | You 1st Healthcare, 112 West Washington Street Suite 502, Suffolk, VA 23434 | 2019-09-20 |
| 1912561713 | Revivication Counseling Services | Counselor | 814 Cripple Creek Lane, Suffolk, VA 23434 | 2019-04-26 |
| 1558826958 | Nita Jenkins | Non-emergency Medical Transport (VAN) | 707 Gittings St. Suite 105, Suffolk, VA 23434 | 2019-02-10 |
| 1730660952 | Latrese L Riddick | Driver | 418 Jackson St, Suffolk, VA 23434 | 2018-08-25 |
| 1114411279 | Percilla D Zeno | Community Health Worker | 102 Niblick Cir, Suffolk, VA 23434 | 2018-06-21 |
| 1437652765 | Aprele Gaddie | Health Educator | 2769 Godwin Boulevard, Suffolk, VA 23434 | 2018-03-13 |
| 1598284283 | Domonic Teheran Scott | Driver | 102 Brewer Ave, Suffolk, VA 23434 | 2017-09-13 |
| 1578089397 | Nakia Shantel Francis | Nurse Practitioner | 2970 Godwin Blvd, Suite 320, Suffolk, VA 23434 | 2017-08-15 |
| 1679093009 | Daisy Mae Aba, LLC | Behavioral Analyst | 3212 Clearcreek Rd., Suffolk, VA 23434 | 2017-06-27 |
| 1114457736 | Better Care Family Homes | Day Training, Developmentally Disabled Services | 813 West Washington Street, Suffolk, VA 23434 | 2017-06-15 |
| Find all providers in zip 23434 | ||||
| Taxonomy Code | 376K00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nurse's Aide |
| (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. |
| Notes: Source: (1) American Nurses Association, Registered Professional Nurses and Unlicensed Personnel, 2nd ed., 1996; (2) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142620 | Lakisha Davonda Moore | Nurse's Aide | 4410 Claiborne Sq E Unit 339, Hampton, VA 23666-2071 | 2020-10-19 |
| 1427655067 | Essential Home Care LLC | Nurse's Aide | 8814 Copper Leaf Way, Fairfax Station, VA 22039-3078 | 2020-10-06 |
| 1689281289 | Tsii Carine | Nurse's Aide | 10708 Marlborough Rd, Fairfax, VA 22032-2222 | 2020-09-28 |
| 1841807922 | Kim Ward | Nurse's Aide | 319 Beacon Hill Ct, Norfolk, VA 23502-4417 | 2020-09-23 |
| 1629692884 | Arise and Shine Mission International | Nurse's Aide | 1731 Wall Street Bldg. A Suite #109, Richmond, VA 23224-2322 | 2020-06-03 |
| 1053947168 | Jessygarcare | Nurse's Aide | 10222 Bushman Dr Apt 8113, Oakton, VA 22124-2822 | 2020-03-20 |
| 1053947598 | Karen Rodriguez Rivera | Nurse's Aide | 3800 Executive Ave Apt B21, Alexandria, VA 22305-2350 | 2020-03-17 |
| 1073146494 | Pamela Yvonne Mitchell | Nurse's Aide | 640 Hobson Rd Apt 1, Axton, VA 24054-4007 | 2020-02-13 |
| 1417592684 | Sonya Jenelle Mcintosh | Nurse's Aide | 1122 Selden Ave, Norfolk, VA 23523-2126 | 2019-11-12 |
| 1356984017 | Lavon Strong | Nurse's Aide | 13512 Evelyn Dr Apt 3, Chester, VA 23831-5244 | 2019-10-24 |
| 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.