MICHAELA KELLIE GOODWIN (NPI# 1831662576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831662576 |
| Entity Type | Individual |
| Full Name | MICHAELA KELLIE GOODWIN |
| Credential | STUDENT |
| Practice Address |
960 Upper Meadows Pl Henderson NV 89052-2904 |
| Practice Telephone | 7025257459 |
| Mailing Telephone | 7025257459 |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-01-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
960 UPPER MEADOWS PL |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-2904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| Find all providers in zip 89052 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638390 | Lindsay Sirkin | Student in an Organized Health Care Education/Training Program | 1545 Wigwam Pkwy, Henderson, NV 89074-8269 | 2020-08-03 |
| 1093335598 | Alyssa Miyuki Ariyoshi | Student in an Organized Health Care Education/Training Program | 4 Sunset Way Bldg B, Henderson, NV 89014-2015 | 2020-04-24 |
| 1891322749 | Lauren Chapple Love | Student in an Organized Health Care Education/Training Program | 1820 E. Warm Springs Rd, Suite 115, Suite 115, Henderson, NV 89011 | 2020-03-23 |
| 1740821164 | Erin Elizabeth Davis | Student in an Organized Health Care Education/Training Program | 2337 Via Barranca St, Henderson, NV 89044-0507 | 2019-10-07 |
| 1447807748 | Ryan Alexander Shehane | Student in an Organized Health Care Education/Training Program | 2925 Wigwam Pkwy Apt 1224, Henderson, NV 89074-2874 | 2019-08-21 |
| 1427600576 | Levina Jordan Philbert | Student in an Organized Health Care Education/Training Program | 5880 Boulder Falls St Apt 1062, Henderson, NV 89011-4956 | 2019-07-09 |
| 1174082226 | Morgan Micheal Jensen | Student in an Organized Health Care Education/Training Program | 3370 Saint Rose Pkwy Apt 1316, Henderson, NV 89052-4253 | 2019-03-18 |
| 1609367200 | Jenny Aguilar | Student in an Organized Health Care Education/Training Program | 1545 Wigwam Pkwy Apt 2918, Henderson, NV 89074-8291 | 2018-05-20 |
| 1588169718 | Chang Hyun Lim | Student in an Organized Health Care Education/Training Program | 1005 Wigwam Pkwy Apt 27104, Henderson, NV 89074-8266 | 2018-03-29 |
| 1861888109 | Brett Helmonds | Student in an Organized Health Care Education/Training Program | 2291 W Horizon Ridge Pkwy Unit 8147, Henderson, NV 89052-5698 | 2015-04-14 |
| Find all providers in HENDERSON | ||||
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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.