Amy Lesher Goodwin, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA055364 Issued in PA

Practice address

1332 W Ritner St
Philadelphia, PA 19148-3537

Phone

(267) 319-1939

NPI assigned

Apr 26, 2012

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

Other names 1

• Ms. Amy Lyn Lesher Former name

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": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1871851972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 W RITNER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191483537",
            "telephone_number": "267-319-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 W RITNER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191483537",
            "telephone_number": "267-319-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "AMY",
        "middle_name": "LESHER",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA055364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "LESHER",
            "middle_name": "LYN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Larkerra Goodson, CPS
• Brooke L Goodspeed, CRNP
• Noel M Goodstadt, PT, DPT, OCS, CSCS
• Dennis Charles Goodstein, PHARMD
• Goodwill Community Pharmacy LLC
• David Goodwin, PHD
• Jeanimarie Goodwin
• Joi Elizabeth Goodwin, CRNP
• Michele M. Goodwin, CRNP
• Riane Goodwin, CRNP

• Medical Physician Assistant in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.