Individual provider Active NPI

Marissa Louise Goodnight, APRN

  • Women's Health Nurse Practitioner
  • Farmington, CT
National Provider Identifier
1982211199
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
009217 Issued in CT
Practice address
263 Farmington Ave
Farmington, CT 06030-8085
Phone
(860) 679-2792
Fax
(860) 679-1494
NPI assigned
Sep 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 009217 CT
Women's Health Nurse Practitioner 363LW0102X 009217 CT Primary

Addresses

Primary practice location

263 Farmington Ave
Farmington, CT 06030-8085

Mailing address

263 Farmington Ave
Farmington, CT 06030-8085
Phone (860) 679-2792

Other practice location 1

534 Saybrook Rd
Middletown, CT 06457-4754
Phone (860) 358-2750

Other practice location 2

534 Saybrook Rd
Middletown, CT 06457-4754
Phone (860) 358-2750

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mgoodnight72626@direct.med.uchc.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20210109000072 CT Practitioner - Nurse Practitioner 1557774635 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
009217CTMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
MHS Primary Care Inc. Family CurrentSince Feb 28, 2025 Accepting new patients
MHS Primary Care, Inc Family Current Accepting new patients
Physicians for Women'S Health LLC Family CurrentSince Feb 1, 2021 Accepting new patients
MHS Primary Care Inc CurrentSince Feb 28, 2025 Accepting new patients
University of Connecticut Health Center CurrentSince Sep 1, 2023 Accepting new patients
University of Connecticut Health Center CurrentSince Sep 1, 2023 Accepting new patients
University of Connecticut Health Center Past Accepting new patients

Locations

103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

14 Jones Hollow Rd
Ste 2
Marlborough, CT 06447

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

49 Crescent St
Middletown, CT 06457
Phone (860) 344-9993

540 Saybrook Rd
Middletown, CT 06457
Phone (860) 347-7491

250 Flat Rock Pl
Westbrook, CT 06498
Phone (860) 358-3640

Interoperability endpoints

  • Direct secure messaging: mgoodnight72626@direct.med.uchc.edu
  • Direct secure messaging: mgoodnight11069@middlesexhealthprd.direct-ci.com

Organizations & group practices 7

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": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1982211199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060308085",
            "telephone_number": "860-679-2792",
            "fax_number": "860-679-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060308085",
            "telephone_number": "860-679-2792",
            "fax_number": "860-679-1494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "534 Saybrook Rd",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "CT",
            "postal_code": "064574754",
            "country_code": "US",
            "telephone_number": "860-358-2750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "534 Saybrook Rd",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "CT",
            "postal_code": "064574754",
            "country_code": "US",
            "telephone_number": "860-358-2750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODNIGHT",
        "first_name": "MARISSA",
        "middle_name": "LOUISE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "009217",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CT",
            "license": "009217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgoodnight72626@direct.med.uchc.edu",
            "affiliation": "N",
            "address_1": "263 Farmington Ave",
            "city": "Farmington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060308085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.