William Goodwin, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

101-0107976 Issued in VT

Practice address

5053 Main St
Manchester Center, VT 05255-9771

Phone

(802) 293-2929

Fax

(802) 419-8311

NPI assigned

Nov 6, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Forensic Consultation & Counseling Service

  • Addiction (Substance Use Disorder) Counselor
  • Rutland, VT
  • NPI 1083997563
  Medicare reassignment NPD
• Vermont Holistic Health PLLC

  • Family Nurse Practitioner
  • Manchester Center, VT
  • NPI 1326594359
  NPD (past) Authorized official
• Life Line Community Healthcare New Jersey, LLC

  • Nurse Practitioner
  • Independence, OH
  • NPI 1093118853
  NPD

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1356770630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 STAPLES RD",
            "city": "DANBY",
            "state": "VT",
            "postal_code": "057399341",
            "telephone_number": "802-293-2929",
            "fax_number": "802-419-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5053 MAIN ST",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "052559771",
            "telephone_number": "802-293-2929",
            "fax_number": "802-419-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "WILLIAM",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-06",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VT",
            "license": "101-0107976",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "ARNP9309446",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04087821",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024223",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Flanagan, CCC/SLP
• Pamela Louise Fletcher Maine, PT
• Elizabeth Ann Fredland, LICSW
• Robert Giering, MD
• Glen Mackenzie MD PC
• Danielle Nicole Granaroli, MT
• Lynn Grieger, RD, CDE
• Verlinda W Griffin
• Nicholas Maguire Guy, DMD
• Kristyn D Harrington, LICSW, LADC

• Nurse Practitioner in Manchester Center, VT
• Providers in Manchester Center, VT by specialty
• Nurse Practitioner in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.