Active NPI
Amy D Goodman, CRNA
- Clinic/Center
- Rogers, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 2974
- Practice address
- 3728 S Pinnacle Hills Pkwy Ste 100
Rogers, AR 72758-7031 - Phone
- (970) 379-5531
- NPI assigned
- Aug 18, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | CRNA-183907 | CO | |
| Clinic/Center | 261Q00000X | 2974 | CA | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 227213 | AR | |
| Certified Registered Nurse Anesthetist | 367500000X | CRNA000233 | NV |
Addresses
Primary practice location
3728 S Pinnacle Hills Pkwy Ste 100
Rogers, AR 72758-7031
Mailing address
6303 SW Rutland Rd Apt 302
Bentonville, AR 72713-8186
Phone (970) 379-5531
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100503782 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, AR
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3728 S Pinnacle Hills Pkwy
Suite 100
Rogers, AR 72758-7031
Phone (479) 254-8508
Hospital & facility affiliations
- Northwest Medical Center-Springdale
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2974 | CA | MD | Clinic/Center |
| CRNA-183907 | CO | MD | Certified Registered Nurse Anesthetist |
| CRNA000233 | NV | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amsurg San Luis Obispo Anesthesia, LLC | Clinic/Center | Current | Accepting new patients |
| Premier Anesthesia of Arkansas Professional Corporation | Clinic/Center | Current | Accepting new patients |
| Northland Anesthesiology Inc | Clinic/Center | Past | Accepting new patients |
| Midwest Anesthesia Associates, PA | Clinic/Center | Past | Accepting new patients |
| John T Goodsell DO PC Gregory Linderer MD LTD | Clinic/Center | Past | Accepting new patients |
Locations
3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000
77 Casa St
Ste 106
Sn Luis Obisp, CA 93405
Phone (805) 541-1021
1320 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-0025
2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
AR
-
- Anesthesiology Physician
- Fayetteville, AR
- NPI 1932519485
Clinic/Center
-
- Anesthesiology Physician
- San Luis Obispo, CA
- NPI 1164749842
Clinic/Center
-
- Anesthesiology Physician
- Henderson, NV
- NPI 1427000413
Clinic/Center
-
- Anesthesiology Physician
- Shawnee Mission, KS
- NPI 1336192392
Clinic/Center
-
- Anesthesiology Physician
- North Kansas City, MO
- NPI 1346341310
Clinic/Center
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springdale, AR
- NPI 1699726695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1942292701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6303 SW RUTLAND RD APT 302",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727138186",
"telephone_number": "970-379-5531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3728 S PINNACLE HILLS PKWY STE 100",
"city": "ROGERS",
"state": "AR",
"postal_code": "727587031",
"telephone_number": "970-379-5531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "AMY",
"middle_name": "D",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-18",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CO",
"license": "CRNA-183907",
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "CA",
"license": "2974",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AR",
"license": "227213",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NV",
"license": "CRNA000233",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100503782",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.