Individual provider Active NPI

Pearlyn Goodman-Herrick, ND

  • Naturopath
  • San Anselmo, CA
National Provider Identifier
1295836708
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
000048 Issued in CT
Practice address
1429 Butterfield Rd
San Anselmo, CA 94960
Phone
(415) 306-7699
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 000048 CT Primary

Addresses

Primary practice location

1429 Butterfield Rd
San Anselmo, CA 94960

Mailing address

1429 Butterfield Rd
San Anselmo, CA 94960-1008
Phone (415) 306-7699

Other practice location 1

1465 Post Rd E
Suite 205
Westport, CT 06880-5528
Phone (203) 256-9091

Other identifiers 1

IdentifierTypeStateIssuer
110000048CT01OtherCTANTHEM

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

LicenseStateTypeSpecialty
000048CTMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Pearlyn Goodman-Herrick, ND PC Naturopath Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1295836708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 BUTTERFIELD RD",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949601008",
            "telephone_number": "415-306-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 BUTTERFIELD RD",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "94960",
            "telephone_number": "415-306-7699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1465 Post Rd E",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "Westport",
            "state": "CT",
            "postal_code": "068805528",
            "country_code": "US",
            "telephone_number": "203-256-9091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODMAN-HERRICK",
        "first_name": "PEARLYN",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CT",
            "license": "000048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "110000048CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Anselmo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.