ELDA CORDERO-GOODMAN (NPI# 1396814612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396814612 |
| Entity Type | Individual |
| Full Name | ELDA CORDERO-GOODMAN |
| Credential | ARNP |
| Practice Address |
100 Hitchcock Way Manchester NH 03104-4125 |
| Practice Telephone | 6036952500 |
| Mailing Telephone | 6036952500 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2011-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
022765-23-02 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30008850 | 05 |
| Street Address |
100 HITCHCOCK WAY |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03104-4125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649268368 | Anthony H Repucci | Pediatrics | 100 Hitchcock Way, Dartmouth Hitchcock - Pediatric Gastroenterology, Manchester, NH 03104-4125 | 2005-10-06 |
| 1518589530 | Dartmouth-hitchcock Clinic | Durable Medical Equipment & Medical Supplies | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2020-05-13 |
| 1609407063 | Ashley Marie Hardy | Dietitian, Registered | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2020-02-03 |
| 1134764442 | Wendy Ann Cyr | Registered Nurse | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2019-11-11 |
| 1003477613 | Stephanie M Winn | Nurse Practitioner | 100 Hitchcock Way, Internal Medicine/pediatrics, Manchester, NH 03104 | 2019-06-25 |
| 1003475914 | Jason Akerman | Urology | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2019-06-13 |
| 1134681711 | Tonya M Binder | Nurse Practitioner | 100 Hitchcock Way, Dartmouth Hitchcock - Gastroenterology, Manchester, NH 03104-4125 | 2019-04-03 |
| 1740745926 | Laura J Vanbrocklin | Nurse Practitioner | 100 Hitchcock Way, Cardiology, Manchester, NH 03104 | 2019-02-01 |
| 1538633599 | Debra A Hansen | Social Worker | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2019-01-14 |
| 1659842466 | Michelle F Hill | Registered Nurse | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2018-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730675562 | Hannah E Boutselis | Nurse Practitioner | 1750 Elm St., Suite 201a, Manchester, NH 03104 | 2018-07-04 |
| 1366948770 | Families In Transition | Counselor | 15 Brook St, Manchester, NH 03104 | 2018-04-04 |
| 1528586872 | Nicole Mitchell | Physical Therapy Assistant | 235 Myrtle St., Manchester, NH 03104 | 2017-09-07 |
| 1851819270 | Community House Calls LLC | Contractor | 497 Hooksett Road, 232, Manchester, NH 03104 | 2017-09-06 |
| 1407207533 | Brianna Cassidy | Specialist/Technologist | 62 Jonathan Ln, Manchester, NH 03104 | 2016-06-30 |
| 1477926871 | Anthony Macri | Skilled Nursing Facility | 524 Blevens Dr., Manchester, NH 03104 | 2015-11-06 |
| 1225412935 | Families In Transition | Counselor | 136 Lowell St, Manchester, NH 03104 | 2015-07-13 |
| 1386036622 | Phoenix Rising Counseling Services, LLC | Counselor | 114 Bay Street, Suite A, Manchester, NH 03104 | 2015-02-24 |
| 1366795767 | Alicia M. Kleczkowski | Nurse Practitioner | 57 Webster St., Manchester, NH 03104 | 2012-10-23 |
| 1356615710 | Laurie Lagasse | Physical Therapy Assistant | 44 West Webster St, Manchester, NH 03104 | 2012-03-02 |
| Find all providers in zip 03104 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326111295 | Susan M Mckeown | Nurse Practitioner | 1245 Elm Street, Manchester, NH 03101-1308 | 2006-11-16 |
| 1508834508 | Barbara Renshaw | Nurse Practitioner | 210 Main Street, Manchester, CT 06040 | 2006-03-08 |
| 1285073213 | Kristin Evans Logan | Nurse Practitioner | 1245 Elm St, Manchester, NH 03101-1308 | 2013-06-24 |
| 1891054490 | Suzanne Marie Vance | Nurse Practitioner | 275 Mammoth Rd, Suite 1, Manchester, NH 03109-4133 | 2012-05-16 |
| 1942451646 | Kristen Elizabeth Stevens | Nurse Practitioner | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2008-10-01 |
| 1417153677 | Kids Station Pediatrics | Nurse Practitioner | 191 Main St, Manchester, CT 06042-3556 | 2007-06-25 |
| 1235219320 | Cornelia Gonsalves | Nurse Practitioner | 100 Hitchcock Way, Capp, Manchester, NH 03104-4125 | 2006-10-16 |
| 1205921996 | Eileen Mccarthy | Nurse Practitioner | 4 Elliot Way, Suite105, Manchester, NH 03103 | 2006-10-04 |
| 1568490225 | Debra Ann Ritrovato | Nurse Practitioner | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2006-06-29 |
| 1538196902 | Matthew Thomas Hendell | Nurse Practitioner | 212 Rosedale Dr, Manchester, PA 17345-1023 | 2006-06-28 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03104 |
Please comment or provide details below to improve the information on ELDA CORDERO-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.