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KIMBERLY DIANNE GOODSPEED MD NPI 1962778621


NPI Information

NPI: 1962778621
Provider Name: KIMBERLY DIANNE GOODSPEED, MD
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Individual

Specialization: Neurology with Special Qualifications in Child Neurology

PECOS Registration: Yes

Address:
1935 MEDICAL DISTRICT DR
GRADUATE MEDICAL EDUCATION
DALLAS, TX
ZIP 75235
Phone: (214) 456-2735
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Kimberly Dianne Goodspeed, MD is a neurology with special qualifications in child neurology psychiatry neurology in Dallas, TX. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. Kimberly Dianne Goodspeed, MD NPI is 1962778621. 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:

1935 MEDICAL DISTRICT DR
GRADUATE MEDICAL EDUCATION
DALLAS, TX
ZIP 75235
Phone: (214) 456-2735

The NPI 1962778621 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 3/27/2012 and was last updated on 8/6/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsR3518TEXASNo
22084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyR3518TEXASYes

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

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