SIMONE GOODWYN (NPI# 1760946412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760946412 |
| Entity Type | Individual |
| Full Name | SIMONE GOODWYN |
| Practice Address |
652 Carolina Rd Suffolk VA 23434-4870 |
| Mailing Address |
Po Box 541 Suffolk VA 23439-0541 |
| Practice Telephone | 2522679746 |
| Mailing Telephone | 2522679746 |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-01-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 347C00000X | Private Vehicle | Transportation Services |
| Street Address |
652 CAROLINA RD |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23434-4870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235780255 | Chiquita Savage | Home Health | You 1st Healthcare, 112 West Washington Street Suite 502, Suffolk, VA 23434 | 2019-09-20 |
| 1912561713 | Revivication Counseling Services | Counselor | 814 Cripple Creek Lane, Suffolk, VA 23434 | 2019-04-26 |
| 1558826958 | Nita Jenkins | Non-emergency Medical Transport (VAN) | 707 Gittings St. Suite 105, Suffolk, VA 23434 | 2019-02-10 |
| 1730660952 | Latrese L Riddick | Driver | 418 Jackson St, Suffolk, VA 23434 | 2018-08-25 |
| 1114411279 | Percilla D Zeno | Community Health Worker | 102 Niblick Cir, Suffolk, VA 23434 | 2018-06-21 |
| 1437652765 | Aprele Gaddie | Health Educator | 2769 Godwin Boulevard, Suffolk, VA 23434 | 2018-03-13 |
| 1598284283 | Domonic Teheran Scott | Driver | 102 Brewer Ave, Suffolk, VA 23434 | 2017-09-13 |
| 1578089397 | Nakia Shantel Francis | Nurse Practitioner | 2970 Godwin Blvd, Suite 320, Suffolk, VA 23434 | 2017-08-15 |
| 1679093009 | Daisy Mae Aba, LLC | Behavioral Analyst | 3212 Clearcreek Rd., Suffolk, VA 23434 | 2017-06-27 |
| 1114457736 | Better Care Family Homes | Day Training, Developmentally Disabled Services | 813 West Washington Street, Suffolk, VA 23434 | 2017-06-15 |
| Find all providers in zip 23434 | ||||
| Taxonomy Code | 347C00000X |
| Grouping | Transportation Services |
| Classification | Private Vehicle |
| An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750921607 | Sharita Mullen | Private Vehicle | 904 Brook Ave, Suffolk, VA 23434-5930 | 2020-01-08 |
| 1063919322 | Anita Shanell Hardy | Private Vehicle | 5652 Nathaniel St, Suffolk, VA 23435-2534 | 2018-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972119808 | Mercy Transports LLC | Private Vehicle | 3212 Mechanicsville Turnpike, Mechanicsville, VA 23111 | 2020-09-16 |
| 1992321517 | Kenneth Bell | Private Vehicle | 47 Gainsborough Pl, Newport News, VA 23608-2029 | 2020-06-19 |
| 1720601065 | Tenea Latrice Walker | Private Vehicle | 2780 Mahixon Rd, Manquin, VA 23106-2318 | 2020-05-21 |
| 1649892589 | Shanique Washington | Private Vehicle | 2247 Dellrose Dr Apt A, Hopewell, VA 23860-7205 | 2020-05-14 |
| 1164044103 | Cornell Daniel Bailey | Private Vehicle | 1016 Level Green Blvd, Virginia Beach, VA 23464-4509 | 2020-05-13 |
| 1427684950 | Michelle Denise Young | Private Vehicle | 1228 Golden Leaf Rd, Nathalie, VA 24577-3494 | 2020-03-17 |
| 1083248884 | Lowell D. Evans | Private Vehicle | 114 Pine Shores Ln, Huddleston, VA 24104-3155 | 2020-03-02 |
| 1841823713 | Rachel Nicole Davis | Private Vehicle | 529 Freeze Rd, Danville, VA 24540-2135 | 2020-02-19 |
| 1235762345 | Michael E Shannon | Private Vehicle | 7928 Brown Mountain Rd, Jewell Ridge, VA 24622-8640 | 2020-02-17 |
| 1821621228 | Marlon Reyes | Private Vehicle | 2500 Pump Rd, Richmond, VA 23233 | 2020-02-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SIMONE GOODWYN.
| 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.