SHANTIVIA BONEPARTE GOODWIN (NPI# 1740892983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740892983 |
| Entity Type | Individual |
| Full Name | SHANTIVIA BONEPARTE GOODWIN |
| Practice Address |
2020 Ashcraft Ave Monroe NC 28110-3720 |
| Practice Telephone | 7042927152 |
| Mailing Telephone | 7042927152 |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WE0003X |
Registered Nurse Specialization: Emergency |
268305 | NC | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Blythe Blvd, Charlotte, NC 282035812 | 7043552000 | |
| 4374 Lancaster Hwy, Richburg, SC 297299060 | 8037894381 |
| Street Address |
2020 ASHCRAFT AVE |
| City | MONROE |
| State | NC |
| Zip Code | 28110-3720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164987996 | Austin Drugs, Inc | Pharmacy | 3513 Suite B Highway 74 E, Monroe, NC 28110 | 2019-02-06 |
| 1366922353 | First Choice Supply, Inc | Clinic/Center | 2909 Waycross Dr, Monroe, NC 28110 | 2018-08-19 |
| 1235616491 | Joshua Gibbons | Physical Therapist | 1999 Wellness Blvd., Suite 220, Monroe, NC 28110 | 2018-07-20 |
| 1508356940 | Latoya I Sheppard | Prosthetist | 1643 Hilton Meadow Dr, Monroe, NC 28110 | 2018-05-11 |
| 1598266546 | Healthstat Onsite Clinic Conmet Monroe 1 | Preventive Medicine | 780 Patterson Avenue, Monroe, NC 28110 | 2018-02-26 |
| 1801397864 | Healthstat Onsite Con Met Monroe 2 | Preventive Medicine | 4515 Corporate Center Drive, Monroe, NC 28110 | 2018-02-26 |
| 1366969834 | Megan Thomas | Nurse Practitioner | 5708 Concord Hwy, Monroe, NC 28110 | 2017-08-25 |
| 1619385168 | Dillon Byrum | Specialist/Technologist | 28110 Eagle View Lane, Monroe, NC 28110 | 2014-07-29 |
| 1932545266 | Shane Markey | Dentist | 2258 W. Roosevelt Blvd, Suite A Dentistry of The Carolinas, Monroe, NC 28110 | 2013-05-14 |
| 1952648644 | Rolanda Johnson Abney | Social Worker | 2661 W Roosevelt Blvd Ste 107, Monroe, NC 28110 | 2013-01-15 |
| Find all providers in zip 28110 | ||||
| Taxonomy Code | 163WE0003X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Emergency |
| Definition to come... |
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|---|---|---|---|---|
| 1942549092 | United States Airforce | Registered Nurse | 1801 N 5th St, Monroe, LA 71201-4245 | 2013-02-10 |
| 1811500887 | Jennifer J Walters | Registered Nurse | 14701 179th Ave Se, Monroe, WA 98272-1108 | 2020-08-28 |
| 1336786649 | Lauren Keanna Jensen | Registered Nurse | 14701 179th Ave Se, Monroe, WA 98272-1108 | 2019-12-05 |
| 1255817888 | Caitlin Ballaro | Registered Nurse | 324 Elm St Ste 202b, Monroe, CT 06468 | 2018-07-17 |
| 1013381391 | Donald Craig Spoon | Registered Nurse | 2151 W Spring St, Monroe, GA 30655-3115 | 2015-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514686 | Jennifer Jean Linney | Registered Nurse | 3906 Old Glory Dr, Concord, NC 28025-1642 | 2020-10-06 |
| 1104431923 | Tammy Hope Bundy Ferron | Registered Nurse | 330 Freeman Mill Rd, Hamlet, NC 28345-8816 | 2020-09-09 |
| 1477165363 | Kacey Whisler | Registered Nurse | 1134 Forest Hill Dr, High Point, NC 27262-2818 | 2020-08-20 |
| 1225646482 | Jemima B Boncales | Registered Nurse | 632 Granite Mill Blvd, Chapel Hill, NC 27516-4568 | 2020-07-14 |
| 1821611559 | Triva Posey Fridley | Registered Nurse | 1190 Willie Gray Rd, Timberlake, NC 27583-8325 | 2020-05-28 |
| 1770106858 | Cheryle Anne Mcgee | Registered Nurse | 100 Bosch Blvd, New Bern, NC 28562-6924 | 2020-05-22 |
| 1659891232 | Tonia Gray | Registered Nurse | 407 Fremont Street, Burgaw, NC 28466 | 2017-06-23 |
| 1235666215 | Laura A Brown | Registered Nurse | Catawba Valley Medical Center, 810 Fairgrove Church Rd, Se, Hickory, NC 28602-2860 | 2017-05-22 |
| 1841730652 | Corey Spence | Registered Nurse | 1120 Davenport Pl, Winterville, NC 28590-8546 | 2017-02-27 |
| 1588044598 | Shannon Collins | Registered Nurse | 4900 Huntingcreek Dr, Wake Forest, NC 27587-9109 | 2015-06-04 |
| Find all providers with the same taxonomy | ||||
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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.