Individual provider Active NPI

Keita Zakiya Jackson-Goodridge, APRN CNM

  • Midwife
  • Carlisle, PA
National Provider Identifier
1053299628
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Practice address
2 Jennifer CT
Carlisle, PA 17015-7694
Phone
(443) 452-7930
NPI assigned
Aug 22, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X Primary

Addresses

Primary practice location

2 Jennifer CT
Carlisle, PA 17015-7694

Mailing address

3817 Chatham Rd
Arlington, MD 21215-5409
Phone (443) 452-7930

Other practice location 1

307 South Font Street
Harrisburg, PA 17104
Phone (717) 231-8761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Nurse Midwife

NPI Registry JSON

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

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1053299628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3817 CHATHAM RD",
            "city": "ARLINGTON",
            "state": "MD",
            "postal_code": "212155409",
            "telephone_number": "443-452-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 JENNIFER CT",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170157694",
            "telephone_number": "443-452-7930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 South Font Street",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "17104",
            "country_code": "US",
            "telephone_number": "717-231-8761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON-GOODRIDGE",
        "first_name": "KEITA",
        "middle_name": "ZAKIYA",
        "credential": "APRN CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.