Active NPIIndividual provider

Samantha L Goodin, APRN

Nurse Practitioner, Family in Danville, Kentucky

NPI Number1518507193
Practice location
210 W Main St, Danville, KY 40422-1812
Fax
833-963-2009
Last updated
May 20, 2022

Samantha Lee Goodin is a Nurse Practitioner, Family based in Danville, KY. Samantha Lee Goodin practices in Danville, KY and has the professional credentials of APRN. The NPI Number for Samantha Lee Goodin is 1518507193 and holds a License No. 3014150 (KY). The current practice location address for Samantha Lee Goodin is 210 W Main St, Danville, KY 40422-1812 and can be reached out via phone at 859-550-2030 and via fax at 833-963-2009.

Provider Profile Details

NPI Number
1518507193
Provider Name
Samantha Lee Goodin
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
210 W Main St, Danville, KY 40422-1812
Phone Number
859-550-2030
Fax Number
833-963-2009
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Other Names
Samantha Lee Derringer, APRN (Former Name)
Provider Enumeration Date
January 10, 2020
Last Update Date
May 20, 2022
Certification Date
May 20, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
210 W Main St
Danville, KY 40422-1812
Zip
40422-1812
Phone Number
859-550-2030
Fax Number
833-963-2009
Danville, KY 40422Get directions →

Provider Business Mailing Address Details

Address
Po Box 27833
Belfast, ME 04915-2030
City
Belfast
State
ME
Zip
04915-2030
Phone Number
888-488-8289
Fax Number
502-919-9780

License Information

License Number (1)
3014150
License State (1)
KY
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
3014150
License State (2)
KY
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Samantha L Goodin, APRN?

The NPI number of Samantha L Goodin, APRN is 1518507193. It was assigned on January 10, 2020 and is currently active in the NPPES registry.

What is the specialty of Samantha L Goodin, APRN?

Samantha L Goodin, APRN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in KY under license number 3014150.

Where does Samantha L Goodin, APRN practice?

The practice location is 210 W Main St, Danville, KY 40422-1812. The office can be reached at 859-550-2030 (phone) or 833-963-2009 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518507193 directly on the NPPES registry website.

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