Atosha Goodman

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

2650 W Kearney St
Springfield, MO 65803-2037

Phone

(417) 865-1547

NPI assigned

Aug 22, 2024

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Food Merchants LLC

  • Long Term Care Pharmacy
  • Springfield, MO
  • NPI 1205584091
  NPD
• Food Merchants LLC

  • Community/Retail Pharmacy
  • Springfield, MO
  • NPI 1194767970
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2024.

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1083447304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5039 S FIELDSTONE RD",
            "city": "BATTLEFIELD",
            "state": "MO",
            "postal_code": "656198406",
            "telephone_number": "417-274-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 W KEARNEY ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658032037",
            "telephone_number": "417-865-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "ATOSHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MO",
            "license": null,
            "primary": true
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MO",
            "license": "2018002759",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyson Goodale, PA
• Goodin & Martens, DDS, PC
• Kelly Goodin
• Leonard Wayne Goodin, DDS
• Allyson M. Goodman, MD
• Samuel Goodman, DC
• Chandra. Renee Goodwin, H.I.S.
• Della Goodwin, LCSW
• Harley Lee Goodwin, HIS
• Jessica Lindiwe Goodwin, MSN, APRN, FNP-C

• All providers in Springfield, MO
• Community Health Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.