Active NPI
Nancy Goodwin
- Health Educator
- Clinton Township, MI
National Provider Identifier
1417530239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 43421 Garfield Rd Ste 203
Clinton Township, MI 48038-1133 - Phone
- (586) 263-2107
- NPI assigned
- Apr 29, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
43421 Garfield Rd Ste 203
Clinton Township, MI 48038-1133
Mailing address
43421 Garfield Rd Ste 203
Clinton Township, MI 48038-1133
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.fcndocumentation.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619654400000",
"number": "1417530239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43421 GARFIELD RD STE 203",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480381133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43421 GARFIELD RD STE 203",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480381133",
"telephone_number": "586-263-2107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIN",
"first_name": "NANCY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-29",
"last_updated": "2021-04-29",
"certification_date": "2021-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.fcndocumentation.com",
"affiliation": "N",
"address_1": "43421 Garfield Rd Ste 203",
"city": "Clinton Township",
"state": "MI",
"country_code": "US",
"postal_code": "480381133",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.