Siarra Izabella Goodhue, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

136 W Street Ext
Oneonta, NY 13820-4649

Phone

(607) 287-9232

NPI assigned

Dec 16, 2024

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1861209421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 W STREET EXT",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138204649",
            "telephone_number": "607-287-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 W STREET EXT",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138204649",
            "telephone_number": "607-287-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODHUE",
        "first_name": "SIARRA",
        "middle_name": "IZABELLA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane M Georgeson, MD
• Patrick Germain, M.D.
• Danielle Gibbs, RN, BC FNP
• Linda A Gilmore, RNBC
• Joseph David Glowienka
• Corey Regina Goodrich, RPH
• Kenneth Lawrence Gordon, MD
• Christina Lynn Graham, LPN
• Norie Grant
• William Eugene Grappone, MSW

• Physician Assistant in Oneonta, NY
• Providers in Oneonta, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.