MS. LAURA SUE GOODWIN (NPI# 1689615197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689615197 |
Entity Type | Individual |
Full Name | MS. LAURA SUE GOODWIN |
Credential | RN, PMHNP |
Practice Address |
4715 Viewridge Ave Ste 230 San Diego CA 92123-1658 |
Mailing Address |
5312 Crawford Ct Flower Mound TX 75028-1010 |
Practice Telephone | 8002578715 |
Practice Fax Number | 8008191655 |
Mailing Telephone | 4692935296 |
Mailing Fax Number | 4692935296 |
Enumeration Date | 2006-06-08 |
Last Update Date | 2010-02-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
608881 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 175547203 | 05 | |
TX | 175547202 | 05 | |
TX | BLUE CROSS BLUE SHIELD | 8N9636 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205465671 | Laura Goodwin | Physical Therapy Assistant | 293 Rimrock Ct, Bastrop, TX 78602-2174 | 2020-04-07 |
1063818326 | Laura Goodwin | Nurse Practitioner | 18181 Oakwood Blvd Ste 203, Dearborn, MI 48124-4082 | 2014-11-14 |
1740621713 | Laura Gioia Goodwin | Dentist | 10131 Wilsky Blvd, Tampa, FL 33625-5837 | 2013-07-08 |
1003079823 | Laura Goodwin | Registered Nurse | 195 W 14th, Rifle, CO 81650-4700 | 2008-07-02 |
Street Address |
4715 VIEWRIDGE AVE STE 230 |
City | SAN DIEGO |
State | CA |
Zip Code | 92123-1658 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932174281 | Lisa Pistone | Psychologist | 4715 Viewridge Ave, Suite 230, San Diego, CA 92123-1658 | 2006-02-21 |
1871040568 | Gail Deborah Simon-boyd | Psychologist | 4715 Viewridge Ave, #230, San Diego, CA 92123-1658 | 2016-09-09 |
1740602457 | Colleen Carney Love | Nurse Practitioner | 4715 Viewridge Ave, Suite 230, San Diego, CA 92123-1658 | 2014-01-15 |
1306271069 | Kandace Lyn Eller | Nurse Practitioner | 4715 Viewridge Ave, San Diego, CA 92123-1658 | 2013-09-12 |
1700132610 | Jahna Dhaye Anyanwu | Psychologist | 4715 Viewridge Ave, Suite 110, San Diego, CA 92123-1658 | 2012-07-29 |
1083924864 | Odon Joseph Hidalgo | Social Worker | 4715 Viewridge Ave, Suite 230, San Diego, CA 92123-1658 | 2010-10-14 |
1649584541 | Carol Kimble | Psychologist | 4715 Viewridge Ave, San Diego, CA 92123-1658 | 2010-08-03 |
1558691816 | Sandra Della Rocca | Psychologist | 4715 Viewridge Ave, Suite 230, San Diego, CA 92123-1658 | 2010-01-10 |
1821221920 | Mary L Lilly | Nurse Practitioner | 4715 Viewridge Ave, San Diego, CA 92123-1658 | 2009-08-24 |
1659526929 | Shelia Michelle Stenson | Psychologist | 4715 Viewridge Ave, Suite 110/230, San Diego, CA 92123-1658 | 2008-11-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
Find all providers in zip 92123 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609431196 | Tanya Denise Stevenson-gaines | Nurse Practitioner | 13988 Royal Melbourne Sq, San Diego, CA 92128-3646 | 2019-05-09 |
1457788598 | Christopher John Reddin | Nurse Practitioner | Naval Medical Center San Diego C I D, 34800 Bob Wilson Drive, San Diego, CA 92134-0001 | 2013-10-03 |
1356650634 | Jamie M Sorenson | Nurse Practitioner | Center Star Act Mental Health Systems, 4283 El Cajon Blvd, Suite 115, San Diego, CA 92105-0001 | 2010-10-04 |
1023345204 | Nelda K. Coleman | Nurse Practitioner | 4715 Viewridge Avenue, Suite 230, San Diego, CA 92123 | 2009-11-10 |
1972506483 | Steven G Hogan | Nurse Practitioner | 8810 Rio San Diego Dr, San Diego, CA 92108-1698 | 2005-05-30 |
1396358024 | Stephanie Joyce Reed | Nurse Practitioner | 2630 1st Ave, San Diego, CA 92103-6599 | 2020-08-24 |
1104442185 | Joshua Don Dougherty | Nurse Practitioner | 1550 Hotel Cir N Ste 450, San Diego, CA 92108-2933 | 2020-06-24 |
1801422258 | Safiya Damali Daley | Nurse Practitioner | 1675 Morena Blvd, San Diego, CA 92110-3703 | 2020-03-17 |
1083247779 | Fernando Ebeo Serrano Jr. | Nurse Practitioner | 3491 Kurtz St Ste 150, San Diego, CA 92110-4430 | 2020-02-20 |
1538790605 | Kat Tupas Balingit | Nurse Practitioner | 140 Arbor Dr, San Diego, CA 92103-2007 | 2020-01-28 |
Find all providers in SAN DIEGO |
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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.