MS. LAURA SUE GOODWIN


Address: 4715 Viewridge Ave, Ste 230, San Diego, CA 92123-1658
Phone: 8002578715

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
TX 175547203 05
TX 175547202 05
TX BLUE CROSS BLUE SHIELD 8N9636 01

Other Providers LAURA GOODWIN

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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

Office Location

Street Address 4715 VIEWRIDGE AVE
STE 230
City SAN DIEGO
State CA
Zip Code 92123-1658

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City SAN DIEGO
Zip Code 92123

Improve Information

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Dataset Information

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.

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