Individual provider Active NPI

Stormy Goodwin, RT(S), RVT, RDMS

  • Diagnostic Ultrasound Physician
  • Riverview, FL
National Provider Identifier
1942945449
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
License
196472 Issued in FL
Practice address
6320 US 301 S
Riverview, FL 33578-3829
Phone
(813) 647-9099
NPI assigned
Apr 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound Physician 2085U0001X 196472 FL Primary

Addresses

Primary practice location

6320 US 301 S
Riverview, FL 33578-3829

Mailing address

6320 US 301 S
Riverview, FL 33578-3829
Phone (813) 647-9099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
196472FLMDDiagnostic Ultrasound Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peeping Moms Ultrasound Boutique LLC Diagnostic Ultrasound CurrentSince Dec 30, 2022 Accepting new patients

Locations

6320 US Highway 301 S
Riverview, FL 33578
Phone (813) 419-3386

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1942945449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 US 301 S",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335783829",
            "telephone_number": "813-647-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 US 301 S",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335783829",
            "telephone_number": "813-647-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "STORMY",
        "name_prefix": "Mrs.",
        "credential": "RT(S), RVT, RDMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "FL",
            "license": "196472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.