Individual provider Active NPI

Robin Louise Goodwin, C-FNP

  • Family Nurse Practitioner
  • Kingwood, WV
National Provider Identifier
1598058836
Registry record updated May 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2011001807 Issued in WV
Practice address
1343 N Preston Hwy
Kingwood, WV 26537-7633
Phone
(304) 441-2001
NPI assigned
May 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2011001807 WV Primary

Addresses

Primary practice location

1343 N Preston Hwy
Kingwood, WV 26537-7633

Mailing address

1343 N Preston Hwy
Kingwood, WV 26537-7633
Phone (304) 441-2001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111216000202 WV Practitioner - Nurse Practitioner 7416099932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preston Health Care Services LLCGroup PAC ID 5698817104, 2 clinicians

Practice addresses (Care Compare)

17548 Veterans Memorial Hwy
Kingwood, WV 26537-9797
Phone (304) 441-2001

Hospital & facility affiliations

  • Preston Memorial Homecare Home health agency, Kingwood, WV, CCN 517037
  • Preston Memorial Hospital Hospital, Kingwood, WV, CCN 511312
  • West Virginia University Hospitals, Inc Hospital, Morgantown, WV, CCN 510001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2011001807WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Preston Health Care Services LLC CurrentSince Sep 26, 2011 Accepting new patients
Preston Healthcare Services LLC Current Accepting new patients

Locations

17548 Veterans Memorial Hwy
Kingwood, WV 26537
Phone (304) 329-6979

1343 N Preston Hwy
Kingwood, WV 26537
Phone (304) 441-2001

17548 Veterans Memorial Hwy
Ste C
Kingwood, WV 26537

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305849600000",
    "number": "1598058836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 N PRESTON HWY",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265377633",
            "telephone_number": "304-441-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 N PRESTON HWY",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265377633",
            "telephone_number": "304-441-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "ROBIN",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "C-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-19",
        "last_updated": "2011-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "2011001807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, WV

Sources for this page

Verify at the official NPI Registry.