MICHELLE S GOODMAN ARNP
NPI 1093899478
Nurse Practitioner in Edmonds, WA

Q: What is Michelle Goodman's NPI number?

The NPI number for Michelle Goodman is 1093899478. It was assigned to this individual provider in the NPPES registry on October 24, 2006. The provider is also known as Michelle S Stark.

Q: What is Michelle Goodman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Goodman was last updated on January 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since October 24, 2006

21600 HIGHWAY 99 STE 260, EDMONDS, WA 98026(425) 774-2650(425) 774-2643 Get Directions Write a Review

NPPES record last updated: January 28, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Michelle S Goodman Arnp NPPES

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

MICHELLE S GOODMAN ARNP (NPI 1093899478) is an individual nurse practitioner in Edmonds, Washington, licensed in Washington (AP30007149) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1093899478

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMICHELLE S GOODMANCredential: ARNP

Location Address21600 HIGHWAY 99 STE 260Edmonds, WA 98026-8049

Mailing AddressPo Box 34888Seattle, WA 98124-1888 · (425) 977-4620 · Fax (425) 745-9836

Phone(425) 774-2650

Fax(425) 774-2643

Sole ProprietorNo

Enumeration DateOctober 24, 2006

Last NPPES UpdateJanuary 28, 2014

✔ NPI 1093899478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WA · AP30007149

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

21600 HIGHWAY 99 STE 260, Edmonds, WA 98026

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Other Names 1

Former Name (1)Michelle S Stark

Other Identifiers 3

Other0302994WA · Labor And Industries

Medicare PING8914571WA

Medicaid1042851WA

Other Providers at the Same Location NPPES 7

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

CRYSTAL L BERNSTEIN M.D.

Internal Medicine (Gastroenterology)