Active NPI
Vicki L Goodman, C.N.M.
- Advanced Practice Midwife
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 148838-32
- Practice address
- 2906 S 20TH St
Milwaukee, WI 53215-3732 - Phone
- (414) 672-1353
- Fax
- (262) 408-5094
- NPI assigned
- Jan 26, 2010
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 148838-32 | WI | Primary |
Addresses
Primary practice location
2906 S 20TH St
Milwaukee, WI 53215-3732
Mailing address
1032 S Cesar E Chavez Dr
Milwaukee, WI 53204-2203
Phone (414) 672-1353
Other practice location 1
1032 S Cesar E Chavez Dr
Milwaukee, WI 53204-2203
Phone (414) 672-1353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508197815 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sixteenth Street Community Health Centers, Inc. | Current | Accepting new patients | |
| Sauk Prairie Healthcare, Inc. | Current | Accepting new patients |
Locations
2906 S 20th St
Milwaukee, WI 53215
Phone (414) 385-8800
1635 W National Ave
Milwaukee, WI 53204
Phone (262) 408-5094
1032 S Cesar E Chavez Dr
Milwaukee, WI 53204
4570 S 27th St
Milwaukee, WI 53221
Phone (414) 325-8720
112 Helen St
Sauk City, WI 53583
Phone (608) 643-3351
309 E North St
Waukesha, WI 53188
Phone (262) 408-2530
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- vicki.goodmancnm.p1@direct.prairieclinic.nextgenshare.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Sauk City, WI
- NPI 1235163494
-
- Federally Qualified Health Center (FQHC)
- Milwaukee, WI
- NPI 1417912999
-
- Federally Qualified Health Center (FQHC)
- Milwaukee, WI
- NPI 1821517681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1508197815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1032 S CESAR E CHAVEZ DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532042203",
"telephone_number": "414-672-1353",
"fax_number": "262-408-5094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2906 S 20TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532153732",
"telephone_number": "414-672-1353",
"fax_number": "262-408-5094"
}
],
"practiceLocations": [
{
"address_1": "1032 S Cesar E Chavez Dr",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532042203",
"country_code": "US",
"telephone_number": "414-672-1353",
"fax_number": "262-408-5096",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOODMAN",
"first_name": "VICKI",
"middle_name": "L",
"credential": "C.N.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-26",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "WI",
"license": "148838-32",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508197815",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.