Individual provider Active NPI

Marjorie Ann Goodwin, RN-PC MA

  • Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
  • West Springfield, MA
National Provider Identifier
1679508626
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geropsychiatric Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0813X
License
114364 Issued in MA
Practice address
1132 Westfield St
West Springfield, MA 01089-3878
Phone
(413) 592-1980
Fax
(413) 439-0096
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist 364SP0813X 114364 MA Primary

Addresses

Primary practice location

1132 Westfield St
West Springfield, MA 01089-3878

Mailing address

129 Chiswick Rd
#7
Brighton, MA 02135-5314
Phone (617) 782-5192

Other identifiers 2

IdentifierTypeStateIssuer
83-01551OtherMAEVERCARE
P00169878OtherMARAIL ROAD MEDICARE

Other names 1

  • Marjorie Ann Goodwin Tuyman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Royal Norwell Nursing & Rehabilitation Center LLC PastSince Feb 1, 2016 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1679508626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 CHISWICK RD",
            "address_2": "#7",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021355314",
            "telephone_number": "617-782-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 WESTFIELD ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010893878",
            "telephone_number": "413-592-1980",
            "fax_number": "413-439-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "MARJORIE",
        "middle_name": "ANN",
        "credential": "RN-PC MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0813X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Geropsychiatric",
            "state": "MA",
            "license": "114364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "83-01551",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00169878",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARJORIE",
            "last_name": "GOODWIN TUYMAN",
            "middle_name": "ANN",
            "credential": "RN-PC MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.