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REBA GOODROW APRN
NPI 1003413634
Nurse Practitioner - Family in Southbury, CT

Active since October 06, 2020
1 POMPERAUG OFFICE PARK STE 102&103, SOUTHBURY, CT 06488(203) 558-1143 Get Directions Write a Review

NPPES record last updated: January 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 1, 2022, Jan 14, 2021, Dec 30, 2020 and 1 more (4 updates tracked since 2020).

About Reba Goodrow Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REBA GOODROW APRN (NPI 1003413634) is an individual family provider in Southbury, Connecticut, licensed in Connecticut (9240) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1003413634
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameREBA GOODROWCredential: APRN
Location Address1 POMPERAUG OFFICE PARK STE 102&103Southbury, CT 06488-2295
Mailing Address82 Central AveWolcott, CT 06716-3002 · (203) 589-7867
Phone(203) 558-1143
Sole ProprietorNo
Enumeration DateOctober 6, 2020
Last NPPES UpdateJanuary 1, 20224 updates tracked since enumeration
NPPES CertifiedJanuary 1, 2022
✔ NPI 1003413634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CT · 9240
1 POMPERAUG OFFICE PARK STE 102&103, Southbury, CT 06488
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Reba Goodrow's NPI number?

The NPI number for Reba Goodrow is 1003413634. It was assigned to this individual provider in the NPPES registry on October 6, 2020.

Where is Reba Goodrow located?

Reba Goodrow practices at 1 Pomperaug Office Park Ste 102&103, Southbury, CT 06488. The listed phone number is (203) 558-1143.

What is Reba Goodrow's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Reba Goodrow was last updated on January 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.