| Sonya K Goodin, FNP | |
|
515 W Main St, Elma, WA 98541-9285 | |
| (360) 861-8700 | |
| (360) 861-8711 |
| Full Name | Sonya K Goodin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 515 W Main St, Elma, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952383812 | NPI | - | NPPES |
| P00218140 | Other | RAILROAD MEDICARE | |
| 09289510 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R850539 (Mississippi) | Primary |
| 363LF0000X | Nurse Practitioner - Family | AP61669968 (Washington) | Secondary |
| Entity Name | Medical Foundation Of Central Mississippi Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992774814 PECOS PAC ID: 1153216411 Enrollment ID: O20040217000380 |
| Entity Name | Fast Pace Mississippi Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291 |
| Entity Name | Integrated Medical And Wellness Clinic Of Mississippi, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235787185 PECOS PAC ID: 2163852005 Enrollment ID: O20200417000299 |
| Mailing Address | Practice Location Address |
|---|---|
| Sonya K Goodin, FNP 1171 Hart St, Canton, MS 39046-4805 Ph: (601) 859-9888 | Sonya K Goodin, FNP 515 W Main St, Elma, WA 98541-9285 Ph: (360) 861-8700 |
Ms. Jo Ann Catherine Yost, RN ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 515 West Main St, Elma, WA 98541 Phone: 360-482-5298 Fax: 360-482-5157 | |
Ms. Tammy H. Moore, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 E. Main Street, Elma, WA 98541 Phone: 360-495-3244 Fax: 360-495-3364 | |
Joseph Hans Kohn, ARNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 E Main St, Elma, WA 98541 Phone: 360-346-2222 | |
Joseph Lewis Mcfadden, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 E Main St, Elma, WA 98541 Phone: 360-346-2222 | |
Brandee Lee Haskin, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 E Main St, Elma, WA 98541 Phone: 360-346-2222 | |
Mr. Joel Ronald Joseph Stewart, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 610 E Main St, Elma, WA 98541 Phone: 360-346-2222 | |
Jessica Renae Jurasin, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 E Main St, Elma, WA 98541 Phone: 360-346-2222 Fax: 360-346-2191 |