Active NPI
Jennifer Christie Goodwin, M.D.
- Pediatrics Physician
- Loxahatchee, FL
National Provider Identifier
1487730552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME100876
- Practice address
- 12955 Palms West Dr
Building 8, Suite 100
Loxahatchee, FL 33470-4993 - Phone
- (561) 798-2468
- Fax
- (561) 798-2773
- NPI assigned
- Oct 31, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME100876 | FL | Primary |
Addresses
Primary practice location
12955 Palms West Dr
Building 8, Suite 100
Loxahatchee, FL 33470-4993
Mailing address
8200 S Jog Rd
Suite 203
Boynton Beach, FL 33472-2981
Phone (561) 327-4960
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME100876 | Other | FL | STATE LICENSE |
| 145P1 | Other | FL | BCBS OF FL |
| 001639800 | Medicaid | FL |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME100876 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Pediatrics | Pediatrics | 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.
-
- Pediatrics Physician
- Jupiter, FL
- NPI 1144650714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348012800000",
"number": "1487730552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8200 S JOG RD",
"address_2": "SUITE 203",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334722981",
"telephone_number": "561-327-4960",
"fax_number": "561-738-1807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12955 PALMS WEST DR",
"address_2": "BUILDING 8, SUITE 100",
"city": "LOXAHATCHEE",
"state": "FL",
"postal_code": "334704993",
"telephone_number": "561-798-2468",
"fax_number": "561-798-2773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIN",
"first_name": "JENNIFER",
"middle_name": "CHRISTIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2012-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME100876",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "ME100876",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL",
"identifier": "145P1",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001639800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Loxahatchee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.