MRS. KELLY EH GOODWIN APRN NPI 1093006884

NPI Information

NPI: 1093006884
Provider Name: MRS. KELLY EH GOODWIN, APRN
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: THE GENERAL HOSPITAL CORPORATION

PECOS Registration: Yes

Address:
55 FRUIT ST
MASSACHUSETTS GENERAL HOSPITAL, YAWKEY 7B
BOSTON, MA
ZIP 02114
Phone: (617) 724-4000
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MRS. Kelly Eh Goodwin, APRN is an adult health nurse practitioner in Boston, MA with 13 years of experience. MRS. Kelly Eh Goodwin, APRN NPI is 1093006884. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

55 FRUIT ST
MASSACHUSETTS GENERAL HOSPITAL, YAWKEY 7B
BOSTON, MA
ZIP 02114-621
Phone: (617) 724-4000
Fax: (617) 643-0678

The NPI 1093006884 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/27/2011 and was last updated on 1/10/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		004713	CONNECTICUT	No
2	363LA2200X	Nurse Practitioner	Adult Health	RN2269436	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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