Sandra Walter Goodman, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

F302161 Issued in NY

Practice address

111 East 210TH Street
Bronx, NY 10467

Phone

(718) 920-8215

Fax

(718) 547-2902

NPI assigned

Dec 8, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1710046495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 210TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672401",
            "telephone_number": "718-920-8215",
            "fax_number": "718-547-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 EAST 210TH STREET",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10467",
            "telephone_number": "718-920-8215",
            "fax_number": "718-547-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER GOODMAN",
        "first_name": "SANDRA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "F302161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Walsh, FNP
• Maureen Anne Walsh, PA
• Preethi Maria Walsh, NP
• Robert Dupre Walsh, MD
• Eilish Walshlennon, LPC
• Eric G Walter, DPM
• Leslie Walter, MD
• Orlene Walters-Crossdale
• Aline Rosette Walters, MS OTR/L
• Arzellra Walters, P.N.P

• Acute Care Nurse Practitioner in Bronx, NY
• Providers in Bronx, NY by specialty
• Acute Care Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.