EDITH SHUNK GOODWIN (NPI# 1982750352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982750352 |
Entity Type | Individual |
Full Name | EDITH SHUNK GOODWIN |
Credential | PT |
Practice Address |
2600 S 9th St Council Bluffs IA 51501-7541 |
Mailing Address |
1918 Avenue B Council Bluffs IA 51501-2438 |
Practice Telephone | 7123227354 |
Practice Fax Number | 7123227419 |
Mailing Telephone | 7123222903 |
Enumeration Date | 2007-01-26 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
00987 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
2600 S 9TH ST |
City | COUNCIL BLUFFS |
State | IA |
Zip Code | 51501-7541 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881204691 | Melissa Sue Sperry | Counselor | Melissa Sperry, 4036 Ramelle Dr, Council Bluffs, IA 51501 | 2020-08-06 |
1326689076 | Crc Recovery, Inc. | Clinic/Center | 1750 W Broadway, Council Bluffs, IA 51501 | 2019-10-03 |
1518451152 | Naomi Kigondu | Registered Nurse | 2323 W Broadway Ste 100, Council Bluffs, IA 51501 | 2018-06-18 |
1710400361 | Travis John Alger | Chiropractor | 3424 W Broadway, Council Bluffs, IA 51501 | 2017-07-25 |
1124495692 | Jillian Kahl | Speech-Language Pathologist | 1500 N 16th St, Council Bluffs, IA 51501 | 2015-08-31 |
1932584323 | Leigh Healey | Dietitian, Registered | 2323 West Broadway, Council Bluffs, IA 51501 | 2015-07-27 |
1942558523 | Karen Irene Godin | Registered Nurse | 1702 N 16th Street, Council Bluffs, IA 51501 | 2012-08-29 |
1063787505 | Rebecca F Aboe | Dietitian, Registered | 1702 North 16th St., Council Bluffs, IA 51501 | 2012-03-16 |
1972883122 | Sara Ann Lott | Occupational Therapist | 1310 N. 17th St., Council Bluffs, IA 51501 | 2011-08-19 |
1700042884 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 3271 Marketplace Dr, Council Bluffs, IA 51501 | 2008-07-29 |
Find all providers in zip 51501 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578604922 | James Andrew Ruff | Physical Therapist | 3501 Harry Langdon Blvd, Suite 160, Council Bluffs, IA 51503-7837 | 2007-02-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255661369 | Dawn Michelle Higgins | Physical Therapist | 216 4th Ave Nw, Belmond, IA 50421-9522 | 2010-01-12 |
1639402977 | Tara Marie Dewolfe | Physical Therapist | 2535 Maplecrest Rd Ste 23, Bettendorf, IA 52722-2716 | 2009-09-17 |
1124218144 | Rachel Dee Allen-mchugh | Physical Therapist | 355 Ne Meadowlark Ln, Waukee, IA 50263-9636 | 2007-07-26 |
1811033418 | Emily Louisa Brekke | Physical Therapist | 115 W Salem Ave, Indianola, IA 50125-2518 | 2007-01-30 |
1881757664 | Rachel Kongshaug | Physical Therapist | 2350 Oakdale Blvd, Coralville, IA 52241-9702 | 2006-12-19 |
1982635496 | Catherine Jane Byrne | Physical Therapist | 1377 11th St Nw, Clinton, IA 52732-5068 | 2006-07-05 |
1366059016 | Lani Matthys | Physical Therapist | 2455 Sw State St, Ankeny, IA 50023-1277 | 2020-09-28 |
1639785199 | Lisa Fuchs | Physical Therapist | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2020-09-21 |
1245864479 | Marie Schnoebelen | Physical Therapist | 2350 Oakdale Blvd, Coralville, IA 52241-9702 | 2020-02-26 |
1457902504 | Megan A Karels | Physical Therapist | 100 Hawkins Dr, Iowa City, IA 52242-1016 | 2019-09-20 |
Find all providers with the same taxonomy |
City | COUNCIL BLUFFS |
Zip Code | 51501 |
Please comment or provide details below to improve the information on EDITH SHUNK GOODWIN.
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.