KIMBERLY GOODSON (NPI# 1437665189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437665189 |
| Entity Type | Individual |
| Full Name | KIMBERLY GOODSON |
| Practice Address |
1600 Porter St Detroit MI 48216-1936 |
| Practice Telephone | 3135156074 |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2017-12-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | MI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | P613469067450 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437662046 | Kimberly Goodson | Registered Nurse | 301 N 2nd St, Belleville, IL 62220-1254 | 2017-11-06 |
| Street Address |
1600 PORTER ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48216-1936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619099264 | Patricia Ann Bleeda-vineyard | Social Worker | 1600 Porter St, Detroit, MI 48216-1936 | 2007-04-04 |
| 1689213845 | Jazmine Wells | Social Worker | 1600 Porter St, Detroit, MI 48216-1936 | 2020-01-05 |
| 1184272213 | Chloe Guadalupe Herrera | Social Worker | 1600 Porter St, Detroit, MI 48216-1936 | 2019-09-02 |
| 1588168512 | Nicholas M Johnson | Social Worker | 1600 Porter St, Detroit, MI 48216-1936 | 2018-03-23 |
| 1184122152 | Nicole Buccalo | Social Worker | 1600 Porter St, Detroit, MI 48216-1936 | 2018-01-25 |
| 1912413667 | Courtney Therrien | Social Worker | 1600 Porter St, Detroit, MI 48216-1936 | 2017-12-18 |
| 1073029757 | Athina Mcpherson | Social Worker | 1600 Porter St, Detroit, MI 48216-1936 | 2017-12-18 |
| 1851807762 | Shelley Lynne Burns | Peer Specialist | 1600 Porter St, Detroit, MI 48216-1936 | 2017-12-15 |
| 1497260301 | Daniel Andrew Yepez | Peer Specialist | 1600 Porter St, Detroit, MI 48216-1936 | 2017-12-14 |
| 1932614856 | Bukeka Denise Thorpe | Peer Specialist | 1600 Porter St, Detroit, MI 48216-1936 | 2017-12-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285287912 | Karah Jeannine Adams | Social Worker | 1600 Porter Street, Detroit, MI 48216 | 2019-07-22 |
| 1457865354 | Aaa Home Visiting Pllc | Internal Medicine | 1502 Fort St, Detroit, MI 48216 | 2017-11-30 |
| 1083004147 | Dan Webster Christian Wood | Social Worker | 1600 Porter St., Detroit, MI 48216 | 2015-01-28 |
| 1497010938 | Turner's Diagnostics | Clinic/Center | 727 West Grand Boulevard #315, Detroit, MI 48216 | 2012-07-11 |
| 1215177019 | Detroit Medical Centre | General Acute Care Hospital | 5000 Heather Drive, Dearborn, MI 48216 | 2009-03-06 |
| 1619164324 | Celso Enterprise Inc | Clinic/Center | 3968 E Vernor Hwy, Detroit, MI 48216 | 2007-09-26 |
| 1376706069 | Sandra Overstreet-ware | Social Worker | 3815 W Fort St, Detroit, MI 48216 | 2008-07-03 |
| 1013156660 | Carmetta Sharlena Jones | Home Health | 790 W Grand Blvd, Detroit, MI 48216-1003 | 2009-02-05 |
| 1982085429 | Gayle England | Custodial Care Facility | 777 W Grand Blvd, Detroit, MI 48216-1056 | 2015-06-10 |
| 1851734297 | Vishnu Kodumuru | Physical Therapist | 815 W Grand Blvd, Detroit, MI 48216-1056 | 2013-04-16 |
| Find all providers in zip 48216 | ||||
| Taxonomy Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326667015 | Alfreda Newkirt-hankins | Community Health Worker | 445 Ledyard Street, Detroit, MI 48201 | 2020-04-13 |
| 1003455429 | Jose Rodriguez | Community Health Worker | 6345 Perkins St, Detroit, MI 48210-2466 | 2020-01-02 |
| 1497229751 | Tameka Latoya Jackson -dyer | Community Health Worker | 18983 Edinborough Rd, Detroit, MI 48219-2825 | 2019-01-18 |
| 1548731359 | Fatima Eid | Community Health Worker | 5716 Michigan Ave Ste 4000, Detroit, MI 48210-3039 | 2018-12-06 |
| 1982113858 | Prevision Withstanding, Incorporated | Community Health Worker | 1758 Helen St, Detroit, MI 48207-3654 | 2017-09-23 |
| 1073049144 | Cheryl Williams | Community Health Worker | 13929 Chalmers Ave., Detroit, MI 48213 | 2017-05-10 |
| 1902348030 | New Life Direct Care Staffing, Inc. | Community Health Worker | 20007 Mccormick St, Detroit, MI 48224-1147 | 2016-11-07 |
| 1669924882 | Jason Harrell | Community Health Worker | 20266 Bradford St, Detroit, MI 48205-1005 | 2016-11-04 |
| 1922555002 | Nicole Comer | Community Health Worker | 13518 Archdale St, Detroit, MI 48227-1336 | 2016-09-06 |
| 1245786276 | Angela Cleveland | Community Health Worker | 14186 Rutherford St, Detroit, MI 48227-1844 | 2016-08-30 |
| Find all providers in DETROIT | ||||
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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.