Rebecca Marie Goodwin

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14175 Issued in CA

Practice address

627 Curve Cir
Lancaster, CA 93535-4118

Phone

(661) 726-7138

NPI assigned

Sep 28, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Rebecca Marie Hager Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Dynamic Therapy Solutions and Dyslexia Center, PC

  • Speech-Language Pathologist
  • Palmdale, CA
  • NPI 1265711998
  NPD (past)

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1497064232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3166 EAST PALMDALE BLVD.",
            "address_2": "SUITE 112",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935505037",
            "telephone_number": "661-274-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 CURVE CIR",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935354118",
            "telephone_number": "661-726-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "REBECCA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "14175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "HAGER",
            "middle_name": "MARIE",
            "credential": "M.S., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vanessa Gonzalez
• Good Samaritan Special Care Home
• Cheryl Denise Gooden, MA/CCC-SLP
• Michael David Goodley, DDS
• Stephen Goodson, CERTIFIED COUNSELOR
• Jose Aurelio Gordo, MD
• Randy Jamar Gordon
• Ryan Majd Gorji, M.D.
• Jennifer A Gorman, MFT
• Gabriela Gorostieta, NP

• Speech-Language Pathologist in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.