CALLIE GOODRICH (NPI# 1386203792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386203792 |
| Entity Type | Individual |
| Full Name | CALLIE GOODRICH |
| Credential | MMS, PA-C |
| Practice Address |
1126 N Church St Ste 300 Greensboro NC 27401-1037 |
| Practice Telephone | 3369380800 |
| Mailing Telephone | 3364141266 |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2019-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1126 N CHURCH ST STE 300 |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27401-1037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508288168 | Hao Meng | Physician Assistant | 1126 N Church St Ste 300, Greensboro, NC 27401-1037 | 2014-01-15 |
| 1255968376 | Cadence Hilary Furth | Physician Assistant | 1126 N Church St Ste 300, Greensboro, NC 27401-1037 | 2020-03-26 |
| 1306384235 | Lindsay Gore Roberts | Nurse Practitioner | 1126 N Church St Ste 300, Greensboro, NC 27401-1037 | 2017-02-12 |
| 1467868661 | Kelley Miller Auten | Pharmacist | 1126 N Church St Ste 300, Greensboro, NC 27401 | 2014-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779655 | Warfair Counseling, Consulting, & Supervision, Pllc | Counselor | 301 South Elm Street, Suite 801, Greensboro, NC 27401 | 2020-10-28 |
| 1225636848 | Alma Lucero Diaz | Registered Nurse | 1121 North Church St, Greensboro, NC 27401 | 2020-10-15 |
| 1447865217 | Rebecca Levy | Marriage & Family Therapist | Cone Health Family Medicine 1125 N Church Street, Greensboro, NC 27401 | 2020-09-09 |
| 1346854304 | Rayna's Home Care, LLC | Registered Nurse | 823 North Elm Street, Greensboro, NC 27401 | 2020-09-06 |
| 1316574718 | Garrett Green | Physician Assistant | 1121 N Church St., Greensboro, NC 27401 | 2020-03-25 |
| 1629635685 | Lauren Robinson Byrd | Anesthesiology | 1200 North Church St, Greensboro, NC 27401 | 2019-05-24 |
| 1285103069 | Shannon Marie Childs Meyerhoff | Occupational Therapist | Guilford County Schools Ec, 134 Franklin Blvd, Greensboro, NC 27401 | 2018-11-21 |
| 1194293241 | Ashley Marie Smith | Nurse Practitioner | 1200 North Elm St, Greensboro, NC 27401 | 2018-11-07 |
| 1285117762 | Anastazia Juszczak Gray | Speech-Language Pathologist | 1131 N. Church St, Greensboro, NC 27401 | 2018-09-11 |
| 1619474012 | Jamie Hannah Rose Aldridge | Psychiatry & Neurology | 1121 N Church Street, Greensboro, NC 27401 | 2018-04-11 |
| Find all providers in zip 27401 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548873433 | Olivia Mustin Clelland | Physician Assistant | 301 E Wendover Ave Ste 200, Greensboro, NC 27401-1232 | 2020-08-28 |
| 1316574718 | Garrett Green | Physician Assistant | 1121 N Church St., Greensboro, NC 27401 | 2020-03-25 |
| 1336790278 | Kaitlyn Albrizze | Physician Assistant | 1921 New Garden Rd Apt E304, Greensboro, NC 27410-2387 | 2019-09-23 |
| 1902462146 | Alix Rothbart | Physician Assistant | 310 Waverly Way, Greensboro, NC 27403-1658 | 2019-05-14 |
| 1013482033 | Taylor Mackenzie Dale | Physician Assistant | 1313 Carolina St Ste 101, Greensboro, NC 27401-6002 | 2018-10-05 |
| 1598148900 | Jonathan Lichtenstein | Physician Assistant | 4012 Battleground Ave Ste B, Ste 1020, Greensboro, NC 27410-8592 | 2015-07-02 |
| 1346637964 | Anne Mack Herion | Physician Assistant | 301 Ridgeway Dr, Greensboro, NC 27403-1528 | 2015-04-21 |
| 1639583552 | Joy Mauney Peterson | Physician Assistant | 516 Lausanne Dr, Greensboro, NC 27410-5243 | 2014-06-18 |
| 1508288168 | Hao Meng | Physician Assistant | 1126 N Church St Ste 300, Greensboro, NC 27401-1037 | 2014-01-15 |
| 1679903819 | Kelly Humes | Physician Assistant | 1200 N. Elm Street, Greensboro, NC 27404-0467 | 2013-11-26 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27401 |
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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.