Samantha Goodroe

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN084689 Issued in GA

Practice address

6707 Forest Park Dr
Savannah, GA 31406-2566

Phone

(912) 335-1699

NPI assigned

Jul 29, 2020

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

Electronic endpoints 1

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": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1518576263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 E 62ND ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314045609",
            "telephone_number": "229-947-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6707 FOREST PARK DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062566",
            "telephone_number": "912-335-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODROE",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN084689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Savannah",
            "affiliation": "N",
            "address_1": "6707 Forest Park Dr",
            "city": "Savannah",
            "state": "GA",
            "country_code": "US",
            "postal_code": "314062566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brenda Goodgame
• Kaylien Goodin, MD
• Brad Henry Goodman, M. D.
• Brenda Lorene Goodman, RN
• Lloyd Stanley Goodman, MD
• Robin Goods
• Ashleigh D Goodsell
• Goodwill Industries of the Coastal Empire, Inc. (ADVANCE Acquired Brain Injury Rehabilitation Program)
• Jacob Edwin Goodwin, PHARMD
• Lauren Googe

• Licensed Practical Nurse in Savannah, GA
• Providers in Savannah, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.