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CHANNA TERESE GOODMAN RN
NPI 1073281135
Registered Nurse - Pediatrics in Tyler, TX

Active since September 02, 2021
100 E FERGUSON ST STE 608, TYLER, TX 75702(903) 705-0070 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Channa Terese Goodman Rn NPPES

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

CHANNA TERESE GOODMAN RN (NPI 1073281135) is an individual pediatrics provider in Tyler, Texas, licensed in Texas (896590) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1073281135
Entity TypeIndividualFemale
Primary Taxonomy163WP0200X
Provider Legal NameCHANNA TERESE GOODMANCredential: RN
Location Address100 E FERGUSON ST STE 608Tyler, TX 75702-5756
Mailing Address100 E Ferguson St Ste 608Tyler, TX 75702-5756 · (903) 705-0070
Phone(903) 705-0070
Sole ProprietorNo
Enumeration DateSeptember 2, 2021
NPPES CertifiedSeptember 2, 2021
✔ NPI 1073281135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · PediatricsNursing Service Providers
Taxonomy Code163WP0200X
License✔ Licensed in TX · 896590
100 E FERGUSON ST STE 608, Tyler, TX 75702
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Other Names 1

Former Name (1)Channa Royal Rn

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES EDWARD CATES LVN
Licensed Vocational Nurse
100 E FERGUSON ST STE 608
TYLER, TX 75702
Smith County (903) 705-0070
JESSICA LOUISE ARRIAGA RN BSN
Registered Nurse
100 E FERGUSON ST STE 608
TYLER, TX 75702
Smith County (903) 705-0070
KAYLA MARIE LANE RN
Registered Nurse (Pediatrics)
100 E FERGUSON ST STE 608
TYLER, TX 75702
Smith County (903) 705-0070
LAURA KELLY
Occupational Therapist
100 E FERGUSON ST STE 608
TYLER, TX 75702
Smith County (903) 705-0070
MELISSA TORRES
Licensed Vocational Nurse
100 E FERGUSON ST STE 608
TYLER, TX 75702
Smith County (903) 229-3856
TAYLOR BEASLEY RN
Registered Nurse
100 E FERGUSON ST STE 608
TYLER, TX 75702
Smith County (903) 705-0070
ANGELICA CORDERO LVN
Licensed Vocational Nurse
100 E FERGUSON ST STE 608
TYLER, TX 75702
Smith County (903) 705-0070
LATONYA MICHELLE ADAMS
Licensed Vocational Nurse
100 E FERGUSON ST STE 608
TYLER, TX 75702
Smith County (936) 899-8354

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 Channa Goodman's NPI number?

The NPI number for Channa Goodman is 1073281135. It was assigned to this individual provider in the NPPES registry on September 2, 2021. The provider is also known as Channa Royal Rn.

Where is Channa Goodman located?

Channa Goodman practices at 100 E Ferguson St Ste 608, Tyler, TX 75702. The listed phone number is (903) 705-0070.

What is Channa Goodman's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Pediatrics, with taxonomy code 163WP0200X.

When was this NPI record last updated?

The NPPES record for Channa Goodman was last updated on September 2, 2021. 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.