Laura Goodwin, RN
Individual provider Active NPI Registered Nurse · Rifle, CO
NPI 1003079823 · NPPES record last updated Jul 2, 2008
Key facts
- NPI
- 1003079823
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 42116 (CO)
- Practice address
- 195 W 14TH
Rifle, CO 81650-4700 - Phone
- (970) 625-5200
- Fax
- (970) 625-4804
- NPI assigned
- Jul 2, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42116 | CO | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 42116 | CO | Yes |
Addresses
Primary practice location
195 W 14TH
Rifle, CO 81650-4700
Mailing address
2014 Blake Ave
Glenwood Springs, CO 81601-4229
Phone (970) 945-6614
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62788710 | Medicaid | CO |
Other providers in Rifle, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.