BONNIE SUE GOODWIN (NPI# 1700801099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700801099 |
| Entity Type | Individual |
| Full Name | BONNIE SUE GOODWIN |
| Credential | FNP |
| Practice Address |
5225 Poplar Tent Rd Minuteclinic Diagnostic of North Carolina Concord NC 28027-7757 |
| Mailing Address |
191 Trex Rd Rockwell NC 28138-9643 |
| Practice Telephone | 9802589434 |
| Mailing Telephone | 9802589434 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2016-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
200623 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972715944 | Bonnie Marie Goodwin | Specialist/Technologist | 1 College and Main, Columbus, OH 43209-7812 | 2007-05-04 |
| 1922091875 | Bonnie J Goodwin | Internal Medicine | 137 Medical Lane, Pollocksville, NC 28573 | 2005-08-25 |
| Street Address |
5225 POPLAR TENT RD MINUTECLINIC DIAGNOSTIC OF NORTH CAROLINA |
| City | CONCORD |
| State | NC |
| Zip Code | 28027-7757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477166130 | Thomasina Michelle Minter | Nurse Practitioner | 5225 Poplar Tent Rd, Concord, NC 28027-7757 | 2020-08-24 |
| 1710466800 | Alyssa Jarvis Dias | Nurse Practitioner | 5225 Poplar Tent Rd, Concord, NC 28027-7757 | 2018-08-09 |
| 1518481811 | Elizabeth Jones | Pharmacist | 5225 Poplar Tent Rd, Concord, NC 28027-7757 | 2017-07-28 |
| 1003360405 | Laura Hudson Werner | Nurse Practitioner | 5225 Poplar Tent Rd, Concord, NC 28027-7757 | 2016-08-15 |
| 1679867121 | Alisa Hill | Pharmacist | 5225 Poplar Tent Rd, Concord, NC 28027-7757 | 2011-06-01 |
| 1235437203 | Marci Koppenhaver | Pharmacist | 5225 Poplar Tent Rd, Concord, NC 28027-7757 | 2011-03-01 |
| 1144522681 | Rachel Randolph | Pharmacist | 5225 Poplar Tent Rd, Concord, NC 28027-7757 | 2010-12-02 |
| 1760617401 | Lindsey N Ricci | Nurse Practitioner | 5225 Poplar Tent Rd, Concord, NC 28027-7757 | 2009-05-26 |
| 1710137351 | Lindsey Coble Walker | Nurse Practitioner | 5225 Poplar Tent Rd, Concord, NC 28027-7757 | 2008-09-19 |
| 1801990577 | North Carolina Cvs Pharmacy, L.L.C. | Pharmacy | 5225 Poplar Tent Rd, Concord, NC 28027-7757 | 2006-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023652252 | Medcare Transport of Nc | Non-emergency Medical Transport (VAN) | 7039 Northwinds Dr Nw, Unit C, Concord, NC 28027 | 2019-10-31 |
| 1538718770 | Carolyn Ann Broadnax | Technician | 3524 Cedar Springs Dr, Concord, NC 28027 | 2019-09-10 |
| 1447806575 | Claire-ann E Papp | Dentist | 8815 Christenbury Parkway, Suite 40, Concord, NC 28027 | 2019-08-14 |
| 1578120218 | Philip Osborn | Dentist | 5408 Nc-49, Harrisburg, NC 28027 | 2019-05-28 |
| 1639648306 | Kristen Morris Spell | Counselor | 195 Lower Cape Dr Sw Apt 107, Concord, NC 28027 | 2018-11-25 |
| 1568959625 | Laurie Ford | Counselor | 705 Samuel Adams Cir Sw, Concord, NC 28027 | 2018-04-15 |
| 1598278194 | Autumn Nobles | Specialist/Technologist | 10193 Falling Leaf Dr Nw, Concord, NC 28027 | 2017-11-06 |
| 1386192938 | Brundasudha Satti IIi | Physical Therapist | 379 Sutoforest Dr Nw, Concord, NC 28027 | 2016-09-12 |
| 1467809616 | Kathryn Teal Watts | Dentist | 5305345 Vining St Nw, #201, Concord, NC 28027 | 2016-05-18 |
| 1720443849 | Denette Carte | Health Educator | 9712 Ravenscroft Lane Nw, Concord, NC 28027 | 2015-12-16 |
| Find all providers in zip 28027 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164041927 | Kayla Norman | Nurse Practitioner | 827 Gaulding Rd, Concord, GA 30206-2258 | 2020-04-13 |
| 1982246534 | Josephine Akih Ojong Fongoh | Nurse Practitioner | 7395 Millstone Cir Sw, Concord, NC 28025-0005 | 2019-10-16 |
| 1356995187 | Lyndsey Michele Vallee | Nurse Practitioner | 10 Ferry St Ste 201, Concord, NH 03301-5081 | 2019-07-30 |
| 1215580923 | Zoe J. Owers | Nurse Practitioner | 248 Pleasant St Ste 2600, Concord, NH 03301-7529 | 2019-07-22 |
| 1659834984 | Alisha Hudson Eudy | Nurse Practitioner | 2934 Walter Dr Nw, Concord, NC 28027-5562 | 2019-04-12 |
| 1831674647 | Rebecca C Diamond | Nurse Practitioner | 24 Bridge St Ste 9, Concord, NH 03301-4922 | 2018-09-27 |
| 1730688789 | Ashley M Pinkham | Nurse Practitioner | 246 Pleasant St Ste 104, Concord, NH 03301 | 2018-02-06 |
| 1295272565 | Jasmin Moultrie | Nurse Practitioner | 2095 Diamond Blvd, Concord, CA 94520-5832 | 2017-01-25 |
| 1417406976 | Lena Lax | Nurse Practitioner | 185 Central St, Concord, MA 01742-2909 | 2016-09-26 |
| 1760834857 | Sheri N. Davis | Nurse Practitioner | 11005 Heber Springs Rd N, Concord, AR 72523-9561 | 2016-07-13 |
| Find all providers in CONCORD | ||||
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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.