Matina Goodwin, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

0024164855 Issued in VA

Practice address

10410 Ridgefield Pkwy
Richmond, VA 23233-3500

Phone

(808) 754-3776

Fax

(804) 754-0880

NPI assigned

Feb 15, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

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.

• DRS. Overton, Wiley, Kirchmier, Terry, & Rowe, P.C.

  • Pediatric Adolescent Medicine Physician
  • Richmond, VA
  • NPI 1558457895
  NPD (past)
• Virginia Emergency Physicians LLP

  • Emergency Medicine Physician
  • Richmond, VA
  • NPI 1134475999
  NPD (past)
• Virginia Emergency Physicians LLP

  • Emergency Medicine Physician
  • Richmond, VA
  • NPI 1639193188
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275676736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10410 RIDGEFIELD PKWY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232333500",
            "telephone_number": "808-754-3776",
            "fax_number": "804-754-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10410 RIDGEFIELD PKWY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232333500",
            "telephone_number": "808-754-3776",
            "fax_number": "804-754-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "MATINA",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024164855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Goodman
• Yohance S Goodrich
• Robert E Goodson
• Allison Trieste Goodwin, M.S.
• David Alan Goodwin, M.D.
• Rebecca Goodwin
• Cassandra Goodwyn, LPC
• Danielle Taylor Goodwyn, LCSW
• Nathan Travis Goodwyn
• Wesley Travis Goodwyn, RRT

• Pediatric Nurse Practitioner in Richmond, VA
• Providers in Richmond, VA by specialty
• Pediatric Nurse Practitioner in Virginia

• 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.