ELLEN I GOODMAN (NPI# 1972082410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972082410 |
| Entity Type | Individual |
| Full Name | ELLEN I GOODMAN |
| Credential | LVN |
| Practice Address |
300 Pennsylvania Ave Fort Worth TX 76104-3304 |
| Mailing Address |
3840 Hulen St Fort Worth TX 76107-7277 |
| Practice Telephone | 8173353022 |
| Mailing Telephone | 8175694300 |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 103606 | TX | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558810739 | Ellen Goodman | Counselor | 1300 Niagara St, Buffalo, NY 14213-1503 | 2016-09-28 |
| 1366627747 | Ellen Goodman | Social Worker | 9729 64th Rd, Rego Park, NY 11374-2240 | 2008-01-04 |
| 1770770570 | Ellen Toni Goodman | Social Worker | 1093 Beacon St, Brookline, MA 02446-5695 | 2007-09-26 |
| Street Address |
300 PENNSYLVANIA AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-3304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396224366 | Kristina M Ward | Social Worker | 300 Pennsylvania Ave, Fort Worth, TX 76104-3304 | 2018-08-10 |
| 1760961064 | Tracy L Reeves | Registered Nurse | 300 Pennsylvania Ave, Fort Worth, TX 76104-3304 | 2018-08-08 |
| 1265911515 | Lisa Gail Dodd | Registered Nurse | 300 Pennsylvania Ave, Fort Worth, TX 76104-3304 | 2018-08-08 |
| 1306325790 | Cordelia Odunayo | Nurse Practitioner | 300 Pennsylvania Ave, Fort Worth, TX 76104-3304 | 2018-08-07 |
| 1003250770 | Karla Raquel Lopez Calderon | Psychiatry & Neurology | 300 Pennsylvania Ave, Fort Worth, TX 76104 | 2013-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069292 | Monika Morales | Licensed Vocational Nurse | 4117 Surrey St, Fort Worth, TX 76133-1072 | 2020-10-06 |
| 1881291466 | Chioma B Ogba | Licensed Vocational Nurse | 505 Constellation Ct, Fort Worth, TX 76108-3894 | 2020-10-06 |
| 1720693989 | Karen Genelle Harris | Licensed Vocational Nurse | 3933 Willow Way Rd, Fort Worth, TX 76133-6802 | 2020-09-14 |
| 1669087995 | Edlisa Harris | Licensed Vocational Nurse | 4500 Brentwood Stair Rd Apt 1131, Fort Worth, TX 76103-1621 | 2020-09-14 |
| 1497360226 | Cindy Rena Lujan | Licensed Vocational Nurse | 3833 German Pointer Way, Fort Worth, TX 76123-3501 | 2020-09-09 |
| 1649884503 | Demetria M Davis | Licensed Vocational Nurse | 5204 Trail Lake Dr, Fort Worth, TX 76133-1929 | 2020-09-08 |
| 1679185946 | Frances Marie Grear-wilkinson | Licensed Vocational Nurse | 333 Allenwood Dr, Fort Worth, TX 76134-5356 | 2020-08-18 |
| 1063023810 | Michelle Renae Morgan | Licensed Vocational Nurse | 9024 Golden Sunset Trl, Fort Worth, TX 76244-4940 | 2020-08-14 |
| 1497372502 | Ivy L Lopez | Licensed Vocational Nurse | 10717 Broken Arrow Trl, Fort Worth, TX 76108-4751 | 2020-07-06 |
| 1225654452 | Jamie D Boone | Licensed Vocational Nurse | 4437 Stepping Stone Dr, Fort Worth, TX 76123-1869 | 2020-06-23 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on ELLEN I GOODMAN.
| 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.