KIMBERLY GOODSON (NPI# 1437662046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437662046 |
| Entity Type | Individual |
| Full Name | KIMBERLY GOODSON |
| Practice Address |
301 N 2nd St Belleville IL 62220-1254 |
| Mailing Address |
105 W A St Belleville IL 62220-1326 |
| Practice Telephone | 6182332413 |
| Practice Fax Number | 6182332413 |
| Mailing Telephone | 6182332830 |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2017-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
041.275829 | IL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437665189 | Kimberly Goodson | Community Health Worker | 1600 Porter St, Detroit, MI 48216-1936 | 2017-12-18 |
| Street Address |
301 N 2ND ST |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62220-1254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669985073 | Elizabeth Horn | Speech-Language Pathologist | 301 N 2nd St, Belleville, IL 62220-1254 | 2017-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144729716 | St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of | Clinic/Center | 180 South Third Street Suite 101, Belleville, IL 62220 | 2018-02-08 |
| 1437675535 | Prorehab PC | Occupational Therapist | 1915 Carlyle Ave, Ste D, Belleville, IL 62220 | 2017-08-21 |
| 1629527650 | Arika Forrest | Nurse Practitioner | 140 Iowa Ave, Belleville, IL 62220 | 2016-10-03 |
| 1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
| 1962871558 | Antony Frierdich | Specialist/Technologist | 22 South 13th Street, Belleville, IL 62220 | 2015-09-24 |
| 1588032858 | Dana Wright | Pharmacist | 211 South Thrid Street, Belleville, IL 62220 | 2015-09-03 |
| 1629208731 | Lisa Marlow Johnson | Developmental Therapist | 34 Fenwood Dr, Belleville, IL 62220 | 2009-07-23 |
| 1841361623 | Neurological Surgery of Belleville | Neurological Surgery | 340 West Lincoln Street, Suite 540, Belleville, IL 62220 | 2006-11-13 |
| 1689769119 | Kathy Jo Corn | Counselor | 521 W. Main, Suite 201 B, Belleville, IL 62220 | 2006-10-03 |
| 1780609578 | Southern Illinois Health Care Foundation, Inc. | Counselor | 180 S 3rd St Ste 103&104, Belleville, IL 62220 | 2006-07-13 |
| Find all providers in zip 62220 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891278396 | Marlaina Felice Reel | Registered Nurse | 1400 N Charles St, Belleville, IL 62221-4858 | 2018-09-11 |
| 1841703311 | Cynthia A Heidorn | Registered Nurse | 1801 Central School Rd, Belleville, IL 62220-3265 | 2017-11-07 |
| 1326317165 | Karen Marie Bertram | Registered Nurse | 8372 County Route 75, Belleville, NY 13611-0158 | 2011-12-23 |
| 1104475987 | Tessa Patterson | Registered Nurse | 1120 Union Ave, Belleville, IL 62220-1855 | 2019-09-05 |
| 1932672722 | Lynette Mcanulty | Registered Nurse | 40 Signal Hill Pl, Belleville, IL 62223-1699 | 2019-01-04 |
| 1427532100 | Jessica Heidorn | Registered Nurse | 700 W Cleveland Ave, Belleville, IL 62220-2496 | 2018-09-19 |
| 1265940324 | Lisa Vogt | Registered Nurse | 20 S 27th St, Belleville, IL 62226-6724 | 2018-01-11 |
| 1164935193 | Nikki T Boze | Registered Nurse | 118 Westhaven School Rd, Belleville, IL 62220-3264 | 2017-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377865 | Koren Mauch | Registered Nurse | 718 S Locust St, Sycamore, IL 60178-2227 | 2020-05-08 |
| 1861037731 | Teresa Lynnell Shiley | Registered Nurse | 7414 Cass Ave, Darien, IL 60561-3608 | 2019-11-14 |
| 1730745332 | Nan Chinratana Phillips | Registered Nurse | 427 Spartan Trail Shs Nurse Office, Sycamore, IL 60178 | 2019-05-20 |
| 1134785108 | Patrice A Pritchard | Registered Nurse | 820 Borden Ave, Sycamore, IL 60178-3270 | 2019-05-15 |
| 1164088308 | Kristin Tilton | Registered Nurse | 150 Maplewood Dr, Sycamore, IL 60178-1225 | 2019-05-14 |
| 1710451380 | Angela L Shires | Registered Nurse | 333 W College St, Harrisburg, IL 62946-2599 | 2019-01-17 |
| 1245710763 | Diana Guzman | Registered Nurse | 3424 Ruby St, Franklin Park, IL 60131-1722 | 2018-08-14 |
| 1700365764 | Peggy Lynn Cook | Registered Nurse | 3300 W Maple St, Evergreen Park, IL 60805-3044 | 2018-08-10 |
| 1407334766 | Tamra L Sanders | Registered Nurse | 110 N Kenilworth Ave Apt 4e, Oak Park, IL 60301-1216 | 2018-07-30 |
| 1437643525 | Shanna Coyle | Registered Nurse | 1128 Jaimee Ln, Libertyville, IL 60048 | 2018-06-21 |
| Find all providers with the same taxonomy | ||||
| City | BELLEVILLE |
| Zip Code | 62220 |
Please comment or provide details below to improve the information on KIMBERLY GOODSON.
| 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.