Individual provider Active NPI

Annette Harriet Goodman, APRN BE CNS

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Falmouth, ME
National Provider Identifier
1366658049
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
R017858 Issued in ME
Practice address
367 US Route One
Falmouth, ME 04105-1350
Phone
(207) 781-7701
Fax
(207) 781-7704
NPI assigned
May 16, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X R017858 ME Primary

Addresses

Primary practice location

367 US Route One
Falmouth, ME 04105-1350

Mailing address

367 US Route One
Falmouth, ME 04105-1350
Phone (207) 781-7701

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)
Enrolled
Credentials
Bachelor or Engineering, Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
R017858MEMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366658049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 US ROUTE ONE",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051350",
            "telephone_number": "207-781-7701",
            "fax_number": "207-781-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 US ROUTE ONE",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051350",
            "telephone_number": "207-781-7701",
            "fax_number": "207-781-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "ANNETTE",
        "middle_name": "HARRIET",
        "name_prefix": "Mrs.",
        "credential": "APRN BE CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "ME",
            "license": "R017858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.