Madonna Mason Goodwin, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

46985 Issued in NC

Practice address

1300 Western Blvd
Raleigh, NC 27699-4285

Phone

(919) 833-0800

Fax

(919) 715-0760

NPI assigned

May 9, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033323498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 COOL SPRINGS RD",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273308642",
            "telephone_number": "919-776-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 WESTERN BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276994285",
            "telephone_number": "919-833-0800",
            "fax_number": "919-715-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "MADONNA",
        "middle_name": "MASON",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "46985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC CREDENT",
            "identifier": "0284835",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LISCENCE",
            "identifier": "46985",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Goodson, LCMHC, LCAS
• Goodwill Home Care Agency, LLC
• Goodwill Transportation Services, LLC
• Dawn M Goodwin, PHARMD
• Denine M Goodwin
• Goodworth Group Inc
• Lindsay Nicole Goolsby, MS, RD, LDN
• Vanitha Gopal, M.D.
• Abbe Roxanne Gorberg, LPC,RD
• Melissa Rae Gordon-Pitts, LCSW-C

• Family Nurse Practitioner in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.