MR. HARLEY LEE GOODWIN (NPI# 1528296316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528296316 |
| Entity Type | Individual |
| Full Name | MR. HARLEY LEE GOODWIN |
| Credential | HIS |
| Practice Address |
1936 E Sunshine St Ste B Springfield MO 65804-1528 |
| Mailing Address |
1936 E Sunshine Ste B Springfield MO 65804 |
| Practice Telephone | 4178127576 |
| Practice Fax Number | 4178127576 |
| Mailing Telephone | 4178127576 |
| Mailing Fax Number | 4178127576 |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2017-03-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | 2008028706 | MO | Speech, Language and Hearing Service Providers |
| Street Address |
1936 E SUNSHINE ST STE B |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-1528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407329881 | Jessica Betts | Hearing Instrument Specialist | 1699 N Bechtle Ave, Springfield, OH 45504-1568 | 2019-01-08 |
| 1235615345 | Brett Jerrod Griffith | Hearing Instrument Specialist | 1922 N Limestone St, Springfield, OH 45503-2648 | 2018-07-12 |
| 1093238800 | Lisa Ann Elmore | Hearing Instrument Specialist | 1001 E Chestnut Expy, Springfield, MO 65802-3625 | 2017-07-24 |
| 1770959819 | James R Reynolds | Hearing Instrument Specialist | 2347 W Monroe St, Springfield, IL 62704 | 2015-08-12 |
| 1548504665 | Kenneth Dale Brann Jr. | Hearing Instrument Specialist | 2060 W Iles Ave, Suite C, Springfield, IL 62704-4191 | 2012-11-15 |
| 1619243730 | Robert T Guison | Hearing Instrument Specialist | 3552 S Campbell Ave, Springfield, MO 65807-5183 | 2012-03-23 |
| 1801191903 | Hanns Christopher Bell | Hearing Instrument Specialist | 2943 West White Oak Drive #6, Springfield, IL 62704 | 2011-01-20 |
| 1942499587 | Jeci Mora Ramos Jr. | Hearing Instrument Specialist | 2133 N Nettleton, Springfield, MO 65803 | 2007-10-19 |
| 1053518118 | Kelly Jean Fore | Hearing Instrument Specialist | 802 S Canton Ave, Springfield, MO 65802-4978 | 2007-06-29 |
| 1477762193 | Chandra. Renee Goodwin | Hearing Instrument Specialist | 1927 S National Ave, Ste. A, Springfield, MO 65804-2219 | 2007-05-21 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
Please comment or provide details below to improve the information on MR. HARLEY LEE GOODWIN.
| 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.