Goodwill Industries NWNC

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

GOODWILL INDUSTRIES NWNC

Practice address

124 Fourth Cresent Place
Statesville, NC 28625

Phone

(704) 873-5005

NPI assigned

Mar 21, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Mary Margaret Patton, M.E.D.,QP

Title

Hickory District Directoet

Phone

(704) 873-5005

Specialties & licenses 1

Addresses

Tax ID family

Goodwill Industries NWNC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Goodwill Industries NWNC

  • Developmentally Disabled Services Day Training Agency
  • Conover, NC
  • NPI 1679698195
  NPD tax ID
• Goodwill Industries of Northwest North Carolina

  • Developmentally Disabled Services Day Training Agency
  • Asheville, NC
  • NPI 1770609323
  NPD tax ID

Locations

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356467385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 FOURTH CRESENT PLACE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "28625",
            "telephone_number": "704-873-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 FOURTH CRESENT PLACE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "28625",
            "telephone_number": "704-873-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES NWNC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "HICKORY DISTRICT DIRECTOET",
        "authorized_official_telephone_number": "704-873-5005",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.E.D.,QP"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Taylor Glunt, CCC-SLP
• Tammy Godfrey, LCAS
• Dawn Goforth
• Mariana Gonzalez-Perez, LCMHC-A
• Karen Esmeralda Gonzalez
• Haley Nicole Gosnell, PA
• Anne Michelle Goss, RBT
• Gina Cook Gouge, COTA/L
• Harsh Govil, MD, MPH
• GR Vito-Brookdale Foot Clinic

• Local Education Agency (LEA) in Statesville, NC
• Providers in Statesville, NC by specialty
• Local Education Agency (LEA) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.