MICHAEL K GODDARD (NPI# 1407472590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407472590 |
| Entity Type | Individual |
| Full Name | MICHAEL K GODDARD |
| Practice Address |
348 Northridge Dr Apt 104 Lewisburg WV 24901-9053 |
| Mailing Address |
261 11th St Rainelle WV 25962-1255 |
| Practice Telephone | 3045204379 |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275567141 | Michael L Goddard | Podiatrist | 20360 Sw Birch St Ste 270, Newport Beach, CA 92660-1535 | 2006-07-10 |
| 1720480791 | Michael Goddard | Registered Nurse | 105 Hall St, Traverse City, MI 49684-2288 | 2014-09-22 |
| 1285665109 | Michael William Goddard | Family Medicine | 1025 Straka Ter, Oklahoma City, OK 73139-2544 | 2006-07-06 |
| Street Address |
348 NORTHRIDGE DR APT 104 |
| City | LEWISBURG |
| State | WV |
| Zip Code | 24901-9053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093940 | Amy Lu Moss | Technician | 254 Moss D Lane, Fairlea, WV 24901 | 2020-11-04 |
| 1083212377 | Miranda Shope | Technician | 814 Maple Ave., Lewisburg, WV 24901 | 2020-10-09 |
| 1184235830 | Carol E Beasley | Technician | 147 Windy Hill Road, Lewisburg, WV 24901 | 2020-08-14 |
| 1790317782 | Preston Dyer Modlin | Psychologist | 635 Church Street, Lewisburg, WV 24901 | 2020-02-07 |
| 1437780269 | Healthcare 360 Pllc | Family Medicine | 208 Dawkins Drive, Lewisburg, WV 24901 | 2020-01-30 |
| 1821655390 | Janet Lee Kowalsky | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St., Lewisburg, WV 24901 | 2019-05-21 |
| 1598321192 | Ali Yousaf | Student in an Organized Health Care Education/Training Program | 400 North Jefferson, Lewisburg, WV 24901 | 2019-05-20 |
| 1770053308 | Micheala Renae Taylor | Student in an Organized Health Care Education/Training Program | 1464 North Jefferson Street, Lewisburg, WV 24901 | 2018-11-27 |
| 1659840486 | Maggie King Clendenen | Nurse Practitioner | 454 Bell Drive, Lewisburg, WV 24901 | 2018-11-22 |
| 1861979312 | Vincent Morra | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St, Lewisburg, WV 24901 | 2018-07-26 |
| Find all providers in zip 24901 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986792 | Elizabeth Jane Pitzer | Day Training/Habilitation Specialist | 1108 Washington St E, Lewisburg, WV 24901-2523 | 2020-09-15 |
| 1992322523 | Lisa Gail Williams | Day Training/Habilitation Specialist | 348 Northridge Dr, Lewisburg, WV 24901-0010 | 2020-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386261014 | Bethany O'bryan | Day Training/Habilitation Specialist | 4443 Keeney Mountain Rd, Sandstone, WV 25985-9271 | 2020-06-29 |
| 1972120806 | Amy Allison Myers | Day Training/Habilitation Specialist | 804 Industrial Drive, Maxwelton, WV 24957-0804 | 2020-06-26 |
| 1902423932 | Ruth Mcmillion | Day Training/Habilitation Specialist | 217 Dylan Heights Dr Apt 124, Summersville, WV 26651-1097 | 2020-06-25 |
| 1730705963 | Sharon Ann Armentrout | Day Training/Habilitation Specialist | 71 Duffy St, Webster Springs, WV 26288-8426 | 2020-06-23 |
| 1235755513 | Linda Carol Carpenter | Day Training/Habilitation Specialist | 413 S Union St, Webster Springs, WV 26288-1233 | 2020-06-22 |
| 1083230643 | Carmela S Dodrill | Day Training/Habilitation Specialist | 4 Wisteria Ln, Summersville, WV 26651-9119 | 2020-06-19 |
| 1093331597 | Barbara Gardner | Day Training/Habilitation Specialist | 117 Rainbow Rd, Craigsville, WV 26205-8510 | 2020-06-19 |
| 1699376657 | Chasity Elaine Garrett | Day Training/Habilitation Specialist | 70 Parcoal Rd, Webster Springs, WV 26288-9767 | 2020-11-05 |
| 1417555939 | Melissa Ann Mason | Day Training/Habilitation Specialist | 804 Broad St, Summersville, WV 26651-1796 | 2020-10-16 |
| 1649878745 | Crystal Dawn Deal | Day Training/Habilitation Specialist | 804 Broad St, Summersville, WV 26651-1796 | 2020-10-12 |
| 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.