MS. MARY LETHER GOODMAN NPI 1851123293

NPI Information

  • NPI: 1851123293
  • Provider Name: MS. MARY LETHER GOODMAN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3019 FALSTAFF RD
    RALEIGH, NC
    ZIP 27610
  • Phone: (919) 250-7000

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NPI Details

MS. Mary Lether Goodman is a psychiatric/mental health nurse practitioner in Raleigh, NC with 2 years of experience. MS. Mary Lether Goodman NPI is 1851123293. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3019 FALSTAFF RD
RALEIGH, NC
ZIP 27610-812
Phone: (919) 250-7000

The NPI 1851123293 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 8/15/2024 and was last updated on 3/28/2025.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health2024062231NORTH CAROLINAYes

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: 11/21/2025

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