Matthew Lindsey Goodwin

Key facts

NPI

1104710599

Entity type

Individual (NPI type 1)

Primary specialty

Home Health Aide 374U00000X

Practice address

122 Hickory Ave
Daniels, WV 25832-9770

Phone

(304) 575-3643

NPI assigned

Jun 9, 2025

Sex

Unspecified or another gender identity

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 9, 2025.

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1104710599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 PARLIAMENT RD",
            "city": "SHADY SPRING",
            "state": "WV",
            "postal_code": "259188433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 HICKORY AVE",
            "city": "DANIELS",
            "state": "WV",
            "postal_code": "258329770",
            "telephone_number": "304-575-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "MATTHEW",
        "middle_name": "LINDSEY",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daniels, WV

• James Timothy Foster
• Tiffany Francis, COTAL
• Sara Frost
• James C Garvin
• Kellie Faye Gautier, FNP-BC
• Steven Gray
• James Carl Gwinn, PTA
• Zachary Tyler Halsey, D.O.
• Angela Dawn Harold, LMT
• Brandon Harvey

All providers in Daniels, WV · Home Health Aide in West Virginia