Individual provider Active NPI

Beth Ann Goodwin, HOMEOPATH

  • Homeopath
  • Bainbridge Island, WA
National Provider Identifier
1467698431
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomeopathTaxonomy code 175L00000X
Practice address
533 Madison Ave N Ste F
Bainbridge Island, WA 98110-1749
Phone
(206) 842-2702
NPI assigned
Dec 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00020096 WA
Homeopath 175L00000X Primary

Addresses

Primary practice location

533 Madison Ave N Ste F
Bainbridge Island, WA 98110-1749

Mailing address

PO Box 11315
Bainbridge Island, WA 98110-5315
Phone (206) 622-7913

Other names 1

  • Beth Ann Zumann Former name

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

LicenseStateTypeSpecialty
MA00020096WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Harbor Chiropractic Inc.P.S. Massage Therapist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1229990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1467698431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11315",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981105315",
            "telephone_number": "206-622-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 MADISON AVE N STE F",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981101749",
            "telephone_number": "206-842-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "BETH",
        "middle_name": "ANN",
        "credential": "HOMEOPATH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-23",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00020096",
            "primary": false
        },
        {
            "code": "175L00000X",
            "taxonomy_group": "",
            "desc": "Homeopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "ZUMANN",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.