Active NPI
Sheryl Goodwin, REGISTERED NURSE
- Registered Nurse
- Euclid, OH
National Provider Identifier
1417064627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 309363
- Practice address
- 27000 Forestview Ave
Euclid, OH 44132-1560 - Phone
- (216) 261-8460
- NPI assigned
- Aug 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 309363 | OH | Primary |
Addresses
Primary practice location
27000 Forestview Ave
Euclid, OH 44132-1560
Mailing address
27000 Forestview Ave
Euclid, OH 44132-1560
Phone (216) 261-8460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2560723 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 309363 | OH | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Touching Hearts Homecare | Current | Accepting new patients | |
| Paradigm Premier Health | Registered Nurse | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Home Health Agency
- Twinsburg, OH
- NPI 1912886276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1417064627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27000 FORESTVIEW AVE",
"city": "EUCLID",
"state": "OH",
"postal_code": "441321560",
"telephone_number": "216-261-8460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27000 FORESTVIEW AVE",
"city": "EUCLID",
"state": "OH",
"postal_code": "441321560",
"telephone_number": "216-261-8460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIN",
"first_name": "SHERYL",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-24",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "309363",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2560723",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Euclid, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.