Joan Marie Goodman, RN.C., W.H.N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

71000412A Issued in IN

Practice address

383 S. Park Ridge Rd.
Ste 102
Bloomington, IN 47401-8574

Phone

(812) 330-5250

Fax

(812) 330-5240

NPI assigned

Oct 29, 2007

Last updated

Mar 7, 2023By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wendy Kinsey Corning, M.D., LLC

  • Gynecology Physician
  • Bloomington, IN
  • NPI 1982736062
  NPD (past)

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1700065505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 S. MEADOWBROOK DR.",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474074233",
            "telephone_number": "812-332-2181",
            "fax_number": "812-332-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 S. PARK RIDGE RD.",
            "address_2": "STE 102",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474018574",
            "telephone_number": "812-330-5250",
            "fax_number": "812-330-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "JOAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN.C., W.H.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71000412A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN PROFESSIONAL LICENSING AGENCY",
            "identifier": "71000412B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND PROFESSIONAL LICENSIN",
            "identifier": "71000412B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Alexander Gonzalez, MD
• Emily M Good, MS
• Goode Chiropractic Services LLC
• Robert J. Goode III, D.C.
• Rebecca Lynn Gooding, LPTA
• James Patrick Goodmon, LMFT
• Adyson Goodwin
• Alanah Nicole Gorini Pereira, PA-C
• David A. Goss, O.D.
• Janelle Goss, DC

• Nurse Practitioner in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.