Tara Lynn Goodwin, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A005853 Issued in AR

Practice address

29 Azalea
Magnolia, AR 71753-2275

Phone

(870) 904-5167

NPI assigned

Oct 24, 2018

Last updated

Oct 24, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tara.goodwin.1@15024.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Greg Smart, M.D.

  • Family Medicine Physician
  • El Dorado, AR
  • NPI 1073506010
  Medicare reassignment
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Camden, AR
  • NPI 1508563362
  NPD
• Access Medical Clinic Arkansas LTC LLC

  • Rural Health Clinic/Center
  • Weiner, AR
  • NPI 1114578929
  NPD
• Greg Smart Family Practice

  • General Practice Physician
  • El Dorado, AR
  • NPI 1255771598
  NPD (past)

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1982171203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 AZALEA",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717532275",
            "telephone_number": "870-904-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 AZALEA",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717532275",
            "telephone_number": "870-904-5167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "TARA",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Gillard
• Courtney Goble, PTA
• Cheryl Goodheart, LPC
• Melissa Ann Goodson, NP
• David Michael Goodwin, OTR
• Cassidy Gorman
• Demetrica Green
• Donna Dudney Green
• Jennifer Green, MA CCC-SLP
• Marian Green, LPC

• Family Nurse Practitioner in Magnolia, AR
• Providers in Magnolia, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.