MRS. ANDREA MARIE GOODMAN (NPI# 1699050781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699050781 |
| Entity Type | Individual |
| Full Name | MRS. ANDREA MARIE GOODMAN |
| Credential | MSPAS, PA-C |
| Practice Address |
Msc06 3870 1 University of New Mexico Albuquerque NM 87131 |
| Mailing Address |
19 Holiday Loop Tijeras NM 87059-7896 |
| Practice Telephone | 5052773136 |
| Mailing Telephone | 6186972082 |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2019-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA2017-0087 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 085004195 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | UNIVERSITY OF NEW MEXICO STUDENT HEALTH AND COUNSELING | 1750550067 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 374 E Grand Ave, Mail Code 6740, Carbondale, IL 629013962 | 6184533311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053567123 | Andrea Marion Goodman | Social Worker | 23 Sherman St, Fairfield, CT 06824-5821 | 2008-08-08 |
| 1528267408 | Andrea Beth Goodman | Social Worker | 36 Woburn St, Reading, MA 01867-2973 | 2007-07-12 |
| Street Address |
MSC06 3870 1 UNIVERSITY OF NEW MEXICO |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689228280 | Blanca Idalia Caro | Psychologist | Msc06 3870 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2019-07-31 |
| 1093839375 | Jessica Marie Sanchez | Psychologist | Msc06 3870 1 University of New Mexico, Albuquerque, NM 87131 | 2007-03-19 |
| 1639246853 | Barbara J Krause | Nurse Practitioner | Msc06 3870 1 University of New Mexico, Unm Student Health Center, Albuquerque, NM 87131-0001 | 2006-11-30 |
| 1710051172 | Lawrence H Carreon | Physician Assistant | Msc06 3870 1 University of New Mexico, Unm Student Health Center, Albuquerque, NM 87131-0001 | 2006-11-20 |
| 1538233994 | Constance C Rossignol | Nurse Practitioner | Msc06 3870 1 University of New Mexico, Unm Student Health Center, Albuquerque, NM 87131-0001 | 2006-11-20 |
| 1700950003 | Bennette E Meyer | Nurse Practitioner | Msc06 3870 1 University of New Mexico, Unm Student Health Center, Albuquerque, NM 87131-0001 | 2006-11-20 |
| 1073687372 | Dennis Mark Jackson | Family Medicine | Msc06 3870 1 University of New Mexico, Unm Student Health Center, Albuquerque, NM 87131-0001 | 2006-11-20 |
| 1639243934 | Laura Elena Veytia | Physician Assistant | Msc06 3870 1 University of New Mexico, Unm Student Health Center, Albuquerque, NM 87131-0001 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780204404 | Samantha Cody Russell | Student in an Organized Health Care Education/Training Program | Unm Health Sciences Center Msc09-5030, Albuquerque, NM 87131 | 2020-04-22 |
| 1366061590 | Maria Paula Ramirez-cruz | Student in an Organized Health Care Education/Training Program | Unm School of Medicine Department of Obgyn, Msc 10 5580, 1 University of New Mexico, Albuquerque, NM 87131 | 2020-04-08 |
| 1457989527 | Kate Kollars | Student in an Organized Health Care Education/Training Program | Msc 095040, 1 University of New Mexico, Albuquerque, NM 87131 | 2020-04-01 |
| 1063046316 | Stephanie Annel Zarrasola | Student in an Organized Health Care Education/Training Program | Msc 09 5020, 1 University of New Mexico, Albuquerque, NM 87131 | 2020-02-25 |
| 1346703675 | Apoorva Cheeti | Student in an Organized Health Care Education/Training Program | 1 University of New Mexico, Msc10-5550, Albuquerque, NM 87131 | 2019-04-12 |
| 1194287649 | Jennifer Nicole Crawford | Psychologist | Msc09 5030 1 Unm, Albuquerque, NM 87131 | 2019-04-03 |
| 1437610672 | Julia Howard | Student in an Organized Health Care Education/Training Program | Msc10-5550, 1 University of New Mexico, Albuquerque, NM 87131 | 2019-03-29 |
| 1730640954 | Derek Scott Young Jr. | Student in an Organized Health Care Education/Training Program | Dept. of Internal Medicine Msc 10-5550, 1 University of New Mexico, Albuquerque, NM 87131 | 2019-03-29 |
| 1255891347 | Logan Van Essen | Student in an Organized Health Care Education/Training Program | Department of Internal Medicine Msc10-5550, 1 University of New Mexico, Albuquerque, NM 87131 | 2019-03-23 |
| 1932664976 | Akbar Oaris | Student in an Organized Health Care Education/Training Program | University of New Mexico - Department of Internal Medic, 1 University of New Mexico (msc 10-5550), Albuquerque, NM 87131 | 2019-02-04 |
| Find all providers in zip 87131 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474550 | Mara Swartzentruber | Physician Assistant | 3310 Linda Vista Ave Se, Albuquerque, NM 87106-1514 | 2020-10-13 |
| 1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
| 1487287413 | Thomas Clise | Physician Assistant | 629 San Pablo St Ne, Albuquerque, NM 87108-2137 | 2020-02-18 |
| 1912547324 | Kathleen Joyce L'heureux | Physician Assistant | 8124 Ventana Cielo Ave Nw, Albuquerque, NM 87114-5988 | 2020-01-14 |
| 1265097869 | Amber Zoubovitch | Physician Assistant | 7200 Montgomery Blvd Ne Ste 7121, Albuquerque, NM 87109-1510 | 2019-05-08 |
| 1639680739 | Wesley A Parker | Physician Assistant | 3777 Mdg, 2050a Second Street Se, Albuquerque, NM 87117-5522 | 2017-10-16 |
| 1003327487 | Elise Nicole Pedigo | Physician Assistant | 4700 Jefferson St Ne Ste 700, Albuquerque, NM 87109-2132 | 2017-10-12 |
| 1194170605 | Anna Marie Siow | Physician Assistant | 1014 Hummingbird Pl Sw, Albuquerque, NM 87105-8130 | 2016-05-03 |
| 1285032367 | Travis Householder | Physician Assistant | 201 Cedar St Se Ste 4610, Presbyterian Heart Group, Albuquerque, NM 87106-4936 | 2014-12-05 |
| 1508276973 | Stephanie Gonzales | Physician Assistant | 12241 Academy Rd Ne Ste 204, Albuquerque, NM 87111 | 2014-05-06 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87131 |
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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.