NICHOLAS PETER GOODMAN (NPI# 1487217345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487217345 |
| Entity Type | Individual |
| Full Name | NICHOLAS PETER GOODMAN |
| Credential | DO |
| Practice Address |
Attn: Internal Medicine Residency 300 Hospital Parkway Mount Vernon WA 98273 |
| Practice Telephone | 3604244111 |
| Mailing Telephone | 3604244111 |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538450853 | Nicholas Grant Goodman | Physician Assistant | 4434 N 12th St, Phoenix, AZ 85014-4507 | 2011-04-20 |
| Street Address |
ATTN: INTERNAL MEDICINE RESIDENCY 300 HOSPITAL PARKWAY |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585849 | Stephanie Marie Partington | Physical Therapist | 1901 Hoad Road, Mount Vernon, WA 98273 | 2020-10-12 |
| 1447866165 | Jennifer I Campos | Interpreter | 1501 Sunset Pl., Unit B, Mount Vernon, WA 98273 | 2020-09-17 |
| 1023579430 | Joan Watkins Opyr | Registered Nurse | Telecare North Sound E&t, 7825 North Sound Drive, Sedro-woolley, WA 98273 | 2019-03-28 |
| 1588136188 | Nicholas Bryan Corp | Physical Therapy Assistant | 1901 Hoag Road, Mount Vernon, WA 98273 | 2018-12-20 |
| 1518437300 | Eyonna Mason | Case Manager/Care Coordinator | 1100 52nd St, Mount Vernon, WA 98273 | 2018-12-05 |
| 1023515400 | Evergreen Recovery Centers | Substance Abuse Rehabilitation Facility | 1905 Continental Place, Mount Vernon, WA 98273 | 2018-04-11 |
| 1104320480 | Stacy Anne Black | Marriage & Family Therapist | 2301 Old Hwy 99, Mt. Vernon, WA 98273 | 2018-03-21 |
| 1609387844 | Kerri Jesse | Massage Therapist | 210 N 23rd St, Mount Vernon, WA 98273 | 2017-10-16 |
| 1992225320 | Juana Cleek | Registered Nurse | 330 Pacific Place, Mount Vernon, WA 98273 | 2017-06-27 |
| 1316472780 | Maria Angelica Walcott | Social Worker | 1005 S. 3rd Street, Mount Vernon, WA 98273 | 2017-04-24 |
| Find all providers in zip 98273 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003376740 | Melat Aberra Gebremichael | Student in an Organized Health Care Education/Training Program | 131 E Prospect Ave Apt 5i, Mount Vernon, NY 10550-2219 | 2019-03-20 |
| 1881179380 | Jacob Rings | Student in an Organized Health Care Education/Training Program | 5481 Mink St, Mount Vernon, OH 43050-8417 | 2018-10-01 |
| 1215463757 | Lyubov Murza | Student in an Organized Health Care Education/Training Program | 2520 Briarwood Cir, Mount Vernon, WA 98273-8614 | 2017-05-03 |
| 1558725564 | Kali Kuhlenschmidt | Student in an Organized Health Care Education/Training Program | 6859 Carson School Rd, Mount Vernon, IN 47620-8427 | 2016-04-06 |
| 1679837942 | Jessica Ann Vargas | Student in an Organized Health Care Education/Training Program | 381 Hutchinson Blvd, Mount Vernon, NY 10552-1515 | 2012-07-01 |
| 1609159201 | Wuyah Gbondo | Student in an Organized Health Care Education/Training Program | 6 Gramatan Avenue, Suite 401, C/o Wjcs, Mount Vernon, NY 10550 | 2011-09-21 |
| 1881724565 | Spring Garden Community Consolidated School District #178 | Student in an Organized Health Care Education/Training Program | 14975 E Bakerville Rd, Mount Vernon, IL 62864 | 2007-03-06 |
| 1891392908 | Sadia Huq | Student in an Organized Health Care Education/Training Program | 11 W Prospect Ave Fl 4, Mount Vernon, NY 10550-2017 | 2020-10-02 |
| 1316544356 | Evelyn Momodu | Student in an Organized Health Care Education/Training Program | 11 W Prospect Ave, Mount Vernon, NY 10550-2017 | 2020-10-02 |
| 1952908998 | Vanessa Lang | Student in an Organized Health Care Education/Training Program | 11 W Prospect Ave, Mount Vernon, NY 10550-2017 | 2020-10-02 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 98273 |
Please comment or provide details below to improve the information on NICHOLAS PETER 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.