Dkisha Goodman, RN

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

908059 Issued in MS

Practice address

6041 Syon CV
Memphis, TN 38119-7429

Phone

(662) 579-9850

NPI assigned

Sep 18, 2024

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1316774987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 HACKS CROSS RD STE 102",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381253206",
            "telephone_number": "662-579-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6041 SYON CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381197429",
            "telephone_number": "662-579-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "DKISHA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "MS",
            "license": "908059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Elise Gooden, RPH
• Jennifer Celeste Goodfred, D.O.
• John Goodfred, DO
• Geoffrey Schaeffer Goodin, M.D.
• Goodlife Medical Center, PLLC
• Jack Andrew Goodman, M.D.
• Porsha Maria Goodman
• Susan Cates Goodman, M.D.
• Stephanie Goodrich, LMSW
• Max Parker Goodsell, DO

• Medical-Surgical Registered Nurse in Memphis, TN
• Providers in Memphis, TN by specialty
• Medical-Surgical Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.