TAMICHA ANDERSON GOODEN (NPI# 1740761485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740761485 |
| Entity Type | Individual |
| Full Name | TAMICHA ANDERSON GOODEN |
| Credential | ARNP |
| Practice Address |
600 E Dixie Ave Leesburg FL 34748 |
| Mailing Address |
1248 E County Road 462 Wildwood FL 34785-8587 |
| Practice Telephone | 3523235762 |
| Mailing Telephone | 3523035878 |
| Mailing Fax Number | 3523300335 |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-08-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 3327192 | FL | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3327192 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1414 E Main St, Leesburg, FL 347485399 | 3527283898 | 3527286240 |
| Street Address |
600 E DIXIE AVE |
| City | LEESBURG |
| State | FL |
| Zip Code | 34748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528061660 | Gregory Wayne Betton | Emergency Medicine | 600 E Dixie Ave, Leesburg, FL 34748-5925 | 2005-05-23 |
| 1053941385 | Robert Bernard | Physician Assistant | 600 E Dixie Ave, Leesburg, FL 34748-5925 | 2020-01-26 |
| 1033685847 | Scott D. Doll | Nurse Practitioner | 600 E Dixie Ave, Leesburg, FL 34748-5925 | 2018-10-18 |
| 1265915573 | Samuella Ferrari | Nurse Anesthetist, Certified Registered | 600 E Dixie Ave, Leesburg, FL 34748-5925 | 2018-09-12 |
| 1396267753 | Matthew Meyer | Registered Nurse | 600 E Dixie Ave, Leesburg, FL 34748-5925 | 2017-07-07 |
| 1215301171 | Anemone Emergency Physicians, LLC | Physician Assistant | 600 E Dixie Ave, Leesburg, FL 34748-5925 | 2015-11-16 |
| 1730592411 | Eva H Berry | Nurse Anesthetist, Certified Registered | 600 E Dixie Ave, Leesburg, FL 34748-5925 | 2014-06-10 |
| 1902226459 | Christine Reames | Pharmacy Technician | 600 E Dixie Ave, Room 1046, Leesburg, FL 34748-5925 | 2014-04-23 |
| 1407281306 | Jessica G Ortiz-colon | Nurse Anesthetist, Certified Registered | 600 E Dixie Ave, Leesburg, FL 34748-5925 | 2013-09-10 |
| 1437590627 | Bogdan Gogioiu Md Pa | Internal Medicine | 600 E Dixie Ave, Leesburg, FL 34748-5925 | 2013-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437610243 | Ashley Shamsa Martin | Behavior Technician | 292 Bent Oak Ct, Leesburg, FL 34748 | 2019-03-26 |
| 1891278875 | Luis O Aponte Mendoza | Physician Assistant | 704 Doctors Ct., Suite 101, Leesburg, FL 34748 | 2018-09-14 |
| 1881197903 | Physician Associates LLC | Internal Medicine | 22316 Us Highway 27, Leesburg, FL 34748 | 2018-03-15 |
| 1184136145 | Infinite Support Services LLC | In Home Supportive Care | 129 Grove Ridge Circle, 104, Leesburg, FL 34748 | 2017-10-31 |
| 1619403037 | Massage and Wellness Care | Health Maintenance Organization | 1218 W. Dixie Ave, Suite A, Leesburg, FL 34748 | 2017-05-04 |
| 1497202675 | Prime Radiology of Leesburg Inc | Radiology | 600 N W Blvd, Suite E, Leesburg, FL 34748 | 2016-09-06 |
| 1023480332 | Juanita Elizabeth Simpson | Contractor | 1911 Harcourt Drive, Leesburg, FL 34748 | 2015-10-26 |
| 1467835900 | Serenity Choice Place, LLC | Community/Behavioral Health | 721 Balmoral Circle, Leesburg, FL 34748 | 2015-07-01 |
| 1356738397 | Touching Heart's Group Homes, LLC | Community/Behavioral Health | 31809 Sunpark Cir, Leesburg, FL 34748 | 2015-04-16 |
| 1386035269 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1103 N 14th Street, Leesburg, FL 34748 | 2015-02-12 |
| Find all providers in zip 34748 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801416094 | Tia Tenease Barriner | Nurse Practitioner | 1626 Sterns Dr, Leesburg, FL 34748-2019 | 2020-04-17 |
| 1679102818 | Heather Georgiana Pickle | Nurse Practitioner | 172 Fowler Dr, Leesburg, GA 31763-5012 | 2020-04-08 |
| 1952940876 | Brittany Breen | Nurse Practitioner | 44055 Riverside Pkwy Ste 100, Leesburg, VA 20176-5155 | 2019-12-23 |
| 1245871128 | Shayna Johnson | Nurse Practitioner | 33825 Secret Hill Dr, Leesburg, FL 34788-3845 | 2019-10-02 |
| 1144785882 | Dharma Deekshita Lakshman Rao | Nurse Practitioner | 5819 Windsong Oak Dr, Leesburg, FL 34748-3474 | 2019-02-06 |
| 1821553827 | Angela L Tatro | Nurse Practitioner | 27637 Us Highway 27, Leesburg, FL 34748-9033 | 2019-02-04 |
| 1265996516 | Monica Cherise Jenkins | Nurse Practitioner | 2113 Griffin Rd, Leesburg, FL 34748-3303 | 2019-01-30 |
| 1780154708 | Orlandria Michelle Bennett-reed | Nurse Practitioner | 129 Oakland Pkwy, Leesburg, GA 31763-7201 | 2018-12-03 |
| 1902375694 | Erica Shackelford | Nurse Practitioner | 540 Fort Evans Rd Ste 204, Leesburg, VA 20176-3379 | 2018-11-26 |
| 1851888242 | Shaneidra Hayes | Nurse Practitioner | 115 Pelham Dr, Leesburg, GA 31763-4913 | 2018-04-20 |
| Find all providers in LEESBURG | ||||
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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.