Abbie Goodman, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5156-12 Issued in WI

Legal business name

ABBIE GOODMAN, LLC

Practice address

612 E Longview Dr
Appleton, WI 54911-2155

Phone

(920) 427-6363

NPI assigned

May 3, 2018

Last updated

May 3, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Abbie Kathleen Goodman, DC

Title

Owner/Doctor

Phone

(920) 427-6363

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525305600000",
    "number": "1942799101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 E LONGVIEW DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549112155",
            "telephone_number": "920-427-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 E LONGVIEW DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549112155",
            "telephone_number": "920-427-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBIE GOODMAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-03",
        "last_updated": "2018-05-03",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "ABBIE",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "920-427-6363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5156-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Thomas Abadeer, DO
• Kimberly N Abalan, OTR
• Katie Abata, O.D.
• Amanda Marie Abaya, APNP
• Ashraf Abbas
• Abbott Family Chiropractic, S.C.
• Gregory Abbott, D.C.
• Miranda Abbott
• Abc Transportation LLC
• Mohamed Hassan Abdelazim, NP

• Chiropractor in Appleton, WI
• Providers in Appleton, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.