Individual provider Active NPI

Lindsey D Goodnow, DAOM, L.AC.

  • Acupuncturist
  • McKinleyville, CA
National Provider Identifier
1861932972
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 16981 Issued in CA
Practice address
1225 Central Ave Ste 4
McKinleyville, CA 95519-4390
Phone
(931) 321-1117
NPI assigned
Mar 8, 2017
Last updated
Sep 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 16981 CA Primary

Addresses

Primary practice location

1225 Central Ave Ste 4
McKinleyville, CA 95519-4390

Mailing address

221 Glenwood LN
McKinleyville, CA 95519-9254
Phone (931) 321-1117

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC 16981CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1861932972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 GLENWOOD LN",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955199254",
            "telephone_number": "931-321-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 CENTRAL AVE STE 4",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955194390",
            "telephone_number": "931-321-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODNOW",
        "first_name": "LINDSEY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DAOM, L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-08",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 16981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinleyville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.