Active NPI
Marea Goodman, LM, CPM
- Midwife
- Oakland, CA
National Provider Identifier
1174075576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 444
- Practice address
- 11 Overlake CT
Oakland, CA 94611-1331 - Phone
- (831) 241-8089
- Fax
- (510) 255-6269
- NPI assigned
- Nov 1, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 444 | CA | Primary |
| Midwife | 176B00000X | 99235 | TX |
Addresses
Primary practice location
11 Overlake CT
Oakland, CA 94611-1331
Mailing address
11 Overlake CT
Oakland, CA 94611-1331
Phone (831) 241-8089
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99235 | TX | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477958400000",
"number": "1174075576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 OVERLAKE CT",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946111331",
"telephone_number": "831-241-8089",
"fax_number": "510-255-6269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 OVERLAKE CT",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946111331",
"telephone_number": "831-241-8089",
"fax_number": "510-255-6269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "MAREA",
"credential": "LM, CPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-01",
"last_updated": "2016-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "CA",
"license": "444",
"primary": true
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "TX",
"license": "99235",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.