Bridget Shayann Goodwin

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

212767 Issued in TX

Practice address

4101 Long Prairie Rd
Flower Mound, TX 75028-1567

Phone

(214) 285-3200

NPI assigned

Aug 17, 2018

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1861972929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 HOLLEY PKWY APT 413",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762624451",
            "telephone_number": "806-240-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 LONG PRAIRIE RD",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281567",
            "telephone_number": "214-285-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 Stonebridge Ln",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760920306",
            "country_code": "US",
            "telephone_number": "817-431-5778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "BRIDGET",
        "middle_name": "SHAYANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "212767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter T Gonyeau, DC
• Leandro Gonzales Jr., LSA
• Sahvannah Gonzalez, APRN
• Dahlia Good, NP
• Anna Marie Goode
• Michael Anthony Goodwin, DDS
• Jenna Gordon
• Kori Gorman
• Karma Marie Gottlieb
• Katina Delette Grabert, LCDC

• Occupational Therapy Assistant in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.