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DR. RAVEN CIARRA GOODWIN MD
NPI 1376394015
Student in an Organized Health Care Education/Training Program in Livonia, MI

Active since April 01, 2024PECOS Enrolled
37595 7 MILE RD STE 210, LIVONIA, MI 48152(734) 853-5690(734) 430-9388 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Raven Ciarra Goodwin Md NPPES

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

DR. RAVEN CIARRA GOODWIN MD (NPI 1376394015) is an individual student in an organized health care education/training program in Livonia, Michigan and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376394015
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. RAVEN CIARRA GOODWINCredential: MD
Location Address37595 7 MILE RD STE 210Livonia, MI 48152-1489
Mailing Address37595 7 Mile Rd Ste 210Livonia, MI 48152-1489 · (734) 853-5690 · Fax (734) 430-9388
Phone(734) 853-5690
Fax(734) 430-9388
Sole ProprietorYes
Enumeration DateApril 1, 2024
NPPES CertifiedMarch 19, 2024
✔ NPI 1376394015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
37595 7 MILE RD STE 210, Livonia, MI 48152
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Raven Ciarra Goodwin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

VANESSA ANUNOBI
General Practice
37595 7 MILE RD STE 210
LIVONIA, MI 48152
Wayne County (734) 430-9388
KATELYN E BONKOWSKI MD
Family Medicine
37595 7 MILE RD STE 210
LIVONIA, MI 48152
Wayne County (734) 853-5694
IHA OLMA PRIMARY NON RISK LLC
Family Medicine
37595 7 MILE RD STE 210
LIVONIA, MI 48152
Wayne County (734) 853-5694
HASSAN ALI CHEAITO
Student in an Organized Health Care Education/Training Program
37595 7 MILE RD STE 210
LIVONIA, MI 48152
Wayne County (734) 430-9388
NEHA K BHATIA MD
Student in an Organized Health Care Education/Training Program
37595 7 MILE RD STE 210
LIVONIA, MI 48152
Wayne County (734) 853-5690
DR. REBECCA D CHOU MD
Student in an Organized Health Care Education/Training Program
37595 7 MILE RD STE 210
LIVONIA, MI 48152
Wayne County (734) 853-5660
NAOMI SAINT JEAN
Student in an Organized Health Care Education/Training Program
37595 7 MILE RD STE 210
LIVONIA, MI 48152
Wayne County (734) 430-9388
JAGPAL GILL MD
Family Medicine
37595 7 MILE RD STE 210
LIVONIA, MI 48152
Wayne County (734) 853-5690

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 Raven Goodwin's NPI number?

The NPI number for Raven Goodwin is 1376394015. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Where is Raven Goodwin located?

Raven Goodwin practices at 37595 7 Mile Rd Ste 210, Livonia, MI 48152. The listed phone number is (734) 853-5690.

What is Raven Goodwin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Raven Goodwin enrolled in Medicare?

Yes. Raven Goodwin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Raven Goodwin was last updated on April 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.