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

Sex

Female

Sole proprietor

No

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.

• Greg Smart, M.D.

  • Family Medicine Physician
  • El Dorado, AR
  • NPI 1073506010

  AR

  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)

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

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

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 24, 2018.

{
    "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

• All providers in Magnolia, AR
• 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.