Pamela Elaine Goodman, RN

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

443645 Issued in NY

Practice address

Dartt Crossroad & Route 34
Spencer, NY 14883

Phone

(607) 589-7148

NPI assigned

Nov 29, 2011

Last updated

Nov 29, 2011By the provider in NPPES

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": "1322524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1366719809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 DONOVAN DR",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148459077",
            "telephone_number": "607-427-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DARTT CROSSROAD & ROUTE 34",
            "city": "SPENCER",
            "state": "NY",
            "postal_code": "14883",
            "telephone_number": "607-589-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "PAMELA",
        "middle_name": "ELAINE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-29",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "443645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas M Annesi, LAT
• Sarah Bast, RN
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• Jennifer Rae Farnsworth, LPN
• Gail Louise Hall
• Patricia L Harmon, RN
• Babbie J Hart, LPN
• Kaitlyn Bednaz Leljedal, OTR/L
• Samantha Jo Oakes, LPN

• Student in an Organized Health Care Education/Training Program in Spencer, NY
• Providers in Spencer, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.