Amy Marie Goodwin, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

259430 Issued in NY

Practice address

22 Union St
Camillus, NY 13031-1019

Phone

(315) 320-4080

Fax

(315) 320-4080

NPI assigned

Aug 5, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186272000000",
    "number": "1699966606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 UNION ST",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130311019",
            "telephone_number": "315-320-4080",
            "fax_number": "315-320-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 UNION ST",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130311019",
            "telephone_number": "315-320-4080",
            "fax_number": "315-320-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "259430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01959159",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oksana Germakovski
• Rachael Gilfus, FNP
• Colleen Elizabeth Gilligan
• Caroline Goldschein, LMHC, LPC
• Gary S Gonza, RPH
• Elizabeth White Graham, RPH
• Christine Marie Granato, M.D.
• Jonathan Green, LPC
• Robin Meredith Greenberg, DPT
• Lori Ann Guereschi, PHARMD

• Licensed Practical Nurse in Camillus, NY
• Providers in Camillus, NY by specialty
• Licensed Practical Nurse in New York

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