Michele Goodman

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

4369 Issued in TN

Practice address

2685 Andersonville Hwy Ste 1
Clinton, TN 37716-6725

Phone

(865) 494-5274

NPI assigned

Apr 5, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1497496335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 HIGHWAY 61 W",
            "city": "ANDERSONVILLE",
            "state": "TN",
            "postal_code": "377052101",
            "telephone_number": "865-806-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 ANDERSONVILLE HWY STE 1",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377166725",
            "telephone_number": "865-494-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "MICHELE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "TN",
            "license": "4369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Earl Goans, M.D., PH.D., M.P.H.
• Cynthia Odelene Godsey, PTA
• Micaela L Goebel, PA-C
• Whitney Lenell Goff
• Patricia Nicole Goodin, R.N.
• Ashtyn Gore, H.I.S.
• Ashton Grimm
• Pamela H. Gross, PH.D.
• Henry Lewis Gupton, MD
• Christopher Ryan Hagenson, DO

• All providers in Clinton, TN
• Dental Hygienist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.