Individual provider Active NPI

Melodee Anne Goodier, AMT

  • Specialist
  • Clearwater, FL
National Provider Identifier
1356321400
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
160234-16 Issued in IL
Practice address
15100 Rescue Way
Clearwater, FL 33762
Phone
(727) 535-1437
Fax
(727) 535-4190
NPI assigned
Jan 17, 2006
Last updated
Nov 5, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 160234-16 IL Primary

Addresses

Primary practice location

15100 Rescue Way
Clearwater, FL 33762

Mailing address

430 Morton Plant Street
Suite 402
Clearwater, FL 33756
Phone (727) 461-8635

Other identifiers 1

IdentifierTypeStateIssuer
160234OtherFLAMERICAN MEDICAL TECHNOLO

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
160234-16ILMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1356321400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 MORTON PLANT STREET",
            "address_2": "SUITE 402",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33756",
            "telephone_number": "727-461-8635",
            "fax_number": "727-461-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15100 RESCUE WAY",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33762",
            "telephone_number": "727-535-1437",
            "fax_number": "727-535-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODIER",
        "first_name": "MELODEE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "AMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "160234-16",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN MEDICAL TECHNOLO",
            "identifier": "160234",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.