NICOLE GOODMAN ATC, LAT
NPI 1609224393
Student in an Organized Health Care Education/Training Program in Tyler, TX

Q: What is Nicole Goodman's NPI number?

The NPI number for Nicole Goodman is 1609224393. It was assigned to this individual provider in the NPPES registry on June 2, 2016.

Q: What is Nicole Goodman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Goodman was last updated on June 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 June 02, 2016

13172 STATE HIGHWAY 64 E, TYLER, TX 75707(502) 542-0583 Get Directions Write a Review

NPPES record last updated: June 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nicole Goodman Atc, Lat NPPES

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

NICOLE GOODMAN ATC, LAT (NPI 1609224393) is an individual student in an organized health care education/training program in Tyler, Texas, licensed in Texas (AT6334) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1609224393

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameNICOLE GOODMANCredential: ATC, LAT

Location Address13172 STATE HIGHWAY 64 ETyler, TX 75707-5340

Mailing Address5613 Oakmeadow Dr, Apt 906Fort Worth, TX 76132-2469 · (502) 542-0583

Phone(502) 542-0583

Sole ProprietorNo

Enumeration DateJune 2, 2016

✔ NPI 1609224393 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

License✔ Licensed in TX · AT6334

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.

13172 STATE HIGHWAY 64 E, Tyler, TX 75707

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Other Providers at the Same Location NPPES 4

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

VICTORIA PAIGE CHILDERS MSN, FNP-C

Nurse Practitioner (Family)

13172 STATE HIGHWAY 64 E
TYLER, TX 75707

Smith County (903) 535-9041

TYLER FAMILY CIRCLE OF CARE

Clinic/Center (Federally Qualified Health Center (FQHC))

13172 STATE HIGHWAY 64 E
TYLER, TX 75707

Smith County (903) 535-9041

STEPHANIE RENEE TYO MD

Family Medicine

13172 STATE HIGHWAY 64 E
TYLER, TX 75707

Smith County (903) 535-9041

SANTANNA TAVE LPC

Counselor (Professional)

13172 STATE HIGHWAY 64 E
TYLER, TX 75707

Smith County (903) 535-9041

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 Nicole Goodman's NPI number?

The NPI number for Nicole Goodman is 1609224393. It was assigned to this individual provider in the NPPES registry on June 2, 2016.

Where is Nicole Goodman located?

Nicole Goodman practices at 13172 State Highway 64 E, Tyler, TX 75707. The listed phone number is (502) 542-0583.

What is Nicole Goodman's specialty?

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

When was this NPI record last updated?

The NPPES record for Nicole Goodman was last updated on June 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.