DR. TERESA L GOODMAN (NPI# 1740252030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740252030 |
| Entity Type | Individual |
| Full Name | DR. TERESA L GOODMAN |
| Credential | ARNP |
| Practice Address |
3700 W Sovereign Path Lecanto FL 34461-8071 |
| Mailing Address |
8631 E Greenock Dr Inverness FL 34450-1780 |
| Practice Telephone | 3525270068 |
| Mailing Telephone | 3525270068 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2007-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
ARNP2012692 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | HEALTHEASE | 40474 | 01 |
| FL | LICENSE | ARNP2012692 | 01 |
| FL | TRICARE | 5935028431021 | 01 |
| FL | NPI | 1740252030 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902886641 | Teresa Marie Goodman | Counselor | 518 28 Rd, Ste B209, Grand Junction, CO 81501-6556 | 2006-01-19 |
| Street Address |
3700 W SOVEREIGN PATH |
| City | LECANTO |
| State | FL |
| Zip Code | 34461-8071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164493664 | Florida Department of Health | Public Health or Welfare | 3700 W Sovereign Path, Lecanto, FL 34461-8071 | 2006-02-01 |
| 1396282612 | Raquel Gonzalez | Dental Hygienist | 3700 W Sovereign Path, Lecanto, FL 34461-8071 | 2017-01-24 |
| 1689116519 | Jennifer Ann Cruz | Nurse Practitioner | 3700 W Sovereign Path, Lecanto, FL 34461-8071 | 2016-11-09 |
| 1326421199 | Cindy Michelle Floyd | Nurse Practitioner | 3700 W Sovereign Path, Lecanto, FL 34461-8071 | 2015-06-29 |
| 1407288087 | Karen Gidden | Dietitian, Registered | 3700 W Sovereign Path, Lecanto, FL 34461-8071 | 2013-08-06 |
| 1245523059 | Citrus County Health Department | Community/Behavioral Health | 3700 W Sovereign Path, Lecanto, FL 34461-8071 | 2011-05-26 |
| 1467694810 | Florida Department of Health Citrus County Health Department | Clinic/Center | 3700 W Sovereign Path, Lecanto, FL 34461-8071 | 2009-04-01 |
| 1457544264 | Austin Primis | Family Medicine | 3700 W Sovereign Path, Lecanto, FL 34461-8071 | 2007-08-24 |
| 1073722989 | Melissa S Heil | Dietitian, Registered | 3700 W Sovereign Path, Lecanto, FL 34461-8071 | 2007-05-21 |
| 1871649251 | Carol W Burke | Nutritionist | 3700 W Sovereign Path, Lecanto, FL 34461-8071 | 2007-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891261160 | Shekinah Barfield | Physician Assistant | Pediatric and Internal Medicine Specialist Inc, 1990 N Prospect Ave, Lecanto, FL 34461 | 2018-10-15 |
| 1699240887 | Medical Risk Solutions | Family Medicine | 2804 W. Marc Knighton Court Key #10, Lecanto, FL 34461 | 2018-10-04 |
| 1851848097 | Pedim Outreach and Specialty Clinic LLC | Family Medicine | 1982 N Prospect Ave, Lecanto, FL 34461 | 2016-09-06 |
| 1265776579 | Wal-mart Stores East Lp | Technician/Technologist | 1936 N. Lecanto Hwy, Lecanto, FL 34461 | 2012-11-27 |
| 1922306109 | Pediatric and Internal Medicine Specialists, Pa | Clinic/Center | 1980 North Prospect Avenue, Lecanto, FL 34461 | 2011-03-11 |
| 1942459078 | Crq Enterprises LLC | Home Health | 4214 W Gulf To Lake Hwy, Lecanto, FL 34461 | 2008-09-12 |
| 1548418064 | Thomas Tybeck | Counselor | 324 S Kensington Ave Ste 328, Lecanto, FL 34461 | 2008-09-09 |
| 1356533566 | Amanda Nicole Coppedge | Optometrist | 240 N. Lecanto Hwy., Lecanto, FL 34461 | 2007-08-11 |
| 1679779185 | Brashears Vital Care Corp | Pharmacy | 471 N Dacie Pt, Lecanto, FL 34461 | 2007-06-22 |
| 1285751099 | Interim Healthcare Private Services, Inc. | Home Health | 581 E. Gulf To Lake Highway, Village West Plaza, Lecanto, FL 34461 | 2007-03-25 |
| Find all providers in zip 34461 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063484665 | Marybeth Nayfield | Nurse Practitioner | 3700 W Sovereign Path, Lecanto, FL 34461-8071 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417072 | Carmen Moreno | Nurse Practitioner | 336 Golfview Rd Apt 909, North Palm Beach, FL 33408-3512 | 2020-11-05 |
| 1366043614 | Christi Koshy | Nurse Practitioner | 4025 N Nob Hill Rd Apt 207, Sunrise, FL 33351-5811 | 2020-11-03 |
| 1730789322 | Michelle Yen-vera | Nurse Practitioner | 18409 Nw 9th Ct, Pembroke Pines, FL 33029-3607 | 2020-11-01 |
| 1376143487 | Aimee N Jorgenson Stough | Nurse Practitioner | 91550 Overseas Hwy Ste 209, Tavernier, FL 33070-2513 | 2020-10-28 |
| 1588271233 | Olivia Janelle De Jong | Nurse Practitioner | 424 Ne 6th St Apt D, Gainesville, FL 32601-5576 | 2020-09-28 |
| 1801407796 | Elisabeth Morley Chinlund | Nurse Practitioner | 445 Delmar Ter S Apt 5, Saint Petersburg, FL 33701-4653 | 2020-08-13 |
| 1972113025 | Nicole Horn | Nurse Practitioner | 8095 Spyglass Hill Rd Ste 104, Melbourne, FL 32940-8290 | 2020-08-04 |
| 1073131850 | Olivia Dawn Wilson | Nurse Practitioner | 5105 Clover Mist Dr, Apollo Beach, FL 33572-3417 | 2020-07-08 |
| 1427687565 | Cortney M Starr | Nurse Practitioner | 2261 Kingfisher Ln, Clearwater, FL 33762-3323 | 2020-04-01 |
| 1285263335 | Summer Leigh Moran | Nurse Practitioner | 528 W Baldwin Rd # A, Panama City, FL 32405-3313 | 2020-04-01 |
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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.