Bonnie Goodchild
Individual provider Active NPI Licensed Practical Nurse · Dover Plains, NY
NPI 1922517002 · NPPES record last updated Sep 21, 2017
Key facts
- NPI
- 1922517002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 322339 (NY)
- Practice address
- 15 Wayne Dr
Dover Plains, NY 12522-6023 - Phone
- (845) 372-7366
- NPI assigned
- Sep 21, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 322339 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 322339 | NY | Yes |
Addresses
Primary practice location
15 Wayne Dr
Dover Plains, NY 12522-6023
Mailing address
15 Wayne Drive
Dover Plains, NY 12522
Other providers in Dover Plains, NY
- Equinorth, Inc.
- Karen Mary Finnerty
- Allison E. Fitch
- Amanda Fonseca
- Renee Frost
- Harlem Valley Physical Therapy PLLC
- Wendy H Hof
- Nicole J Horton
- Karen M. Finnerty OT,P.C.
- Sarah Elizabeth Lawlor
All providers in Dover Plains, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.