DAISY J GOODMAN CNM NPI 1366414856

NPI Information

NPI: 1366414856
Provider Name: DAISY J GOODMAN, CNM
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

PECOS Registration: Yes

Address:
1 MEDICAL CENTER DR
DHMC - OB/GYN
LEBANON, NH
ZIP 03756
Phone: (603) 653-9303
Get Directions

Daisy J Goodman, CNM is an obstetrics and gynecology nurse practitioner in Lebanon, NH. Daisy J Goodman, CNM NPI is 1366414856. 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:

1 MEDICAL CENTER DR
DHMC - OB/GYN
LEBANON, NH
ZIP 03756-000
Phone: (603) 653-9303
Fax: (603) 650-0902

The NPI 1366414856 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.

The enumeration date for this NPI number is 2/7/2006 and was last updated on 3/6/2013.

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	367A00000X	Advanced Practice Midwife		045116-23	NEW HAMPSHIRE	No
2	363LW0102X	Nurse Practitioner	Women's Health	R045622	MAINE	No
3	367A00000X	Advanced Practice Midwife		045622	MAINE	No
4	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	045116-23	NEW HAMPSHIRE	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	ME0360	MEDICARE PIN	MAINE
2	Q05902	MEDICARE UPIN

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: 4/28/2024

NPI Synchronization or Removal

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