JUDY R. RIDPATH GOODWIN APRN CPNP NNP-BC NPI 1861473522

NPI Information

NPI: 1861473522
Provider Name: JUDY R. RIDPATH GOODWIN, APRN, CPNP, NNP-BC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
5201 HARRY HINES BLVD
MEDICAL STAFF SERVICES
DALLAS, TX
ZIP 75235
Phone: (214) 590-8006
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Judy R. Ridpath Goodwin, APRN, CPNP, NNP-BC is a pediatrics nurse practitioner in Dallas, TX. Judy R. Ridpath Goodwin, APRN, CPNP, NNP-BC NPI is 1861473522. 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:

5201 HARRY HINES BLVD
MEDICAL STAFF SERVICES
DALLAS, TX
ZIP 75235-708
Phone: (214) 590-8006

The NPI 1861473522 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 11/9/2005 and was last updated on 11/17/2020.

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	363LP0200X	Nurse Practitioner	Pediatrics	243156	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	176068801	MEDICAID	TEXAS
2	8Y0818	OTHER	TEXAS	BLUE CROSS BLUE SHIELD
3	176068802	MEDICAID	TEXAS

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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