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Individual provider Active NPI

Hanna Esthay Goodwin

  • Family Nurse Practitioner
  • Lake Charles, LA
National Provider Identifier
1992538458
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
206384 Issued in LA
Practice address
601 Dr Michael Debakey Dr
Lake Charles, LA 70601-5726
Phone
(337) 436-1370
Fax
(337) 436-1621
NPI assigned
Aug 21, 2024
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 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 206384 LA Primary
Maternal Newborn Registered Nurse 163WM0102X 206384 LA

Addresses

Primary practice location

601 Dr Michael Debakey Dr
Lake Charles, LA 70601-5726

Mailing address

1101 Kent Hill Rd
Lake Charles, LA 70605-0610
Phone (337) 329-5747

Other practice location 1

1101 Kent Hill Rd
Lake Charles, LA 70605-0610
Phone (337) 329-5747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250401003186 LA Practitioner - Nurse Practitioner 4688197593 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thibodeaux Medical Clinic, LLCGroup PAC ID 2365774189, 3 clinicians

Practice addresses (Care Compare)

1311 Horridge St
Vinton, LA 70668-4531
Phone (337) 739-3134

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Thibodeaux Medical Clinic of Dequincy CurrentSince Jun 1, 2026 Accepting new patients
Thibodeaux Medical Clinic, LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

810 E Fourth St
Dequincy, LA 70633
Phone (337) 265-1180

1311 Horridge St
Vinton, LA 70668
Phone (337) 324-8060

Organizations & group practices 2

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1992538458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 KENT HILL RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706050610",
            "telephone_number": "337-329-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 DR MICHAEL DEBAKEY DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015726",
            "telephone_number": "337-436-1370",
            "fax_number": "337-436-1621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Kent Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706050610",
            "country_code": "US",
            "telephone_number": "337-329-5747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "HANNA",
        "middle_name": "ESTHAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-21",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "206384",
            "primary": true
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "LA",
            "license": "206384",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.