MS. SHENAVIAN FREDITA GOODMAN LPN
NPI 1679790737
Licensed Practical Nurse in Jacksonville, FL

Q: What is Shenavian Goodman's NPI number?

The NPI number for Shenavian Goodman is 1679790737. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Q: What is Shenavian Goodman's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Shenavian Goodman was last updated on December 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 April 19, 2007

1601 DUNN AVE APT 504, JACKSONVILLE, FL 32218(904) 379-4931 Get Directions Write a Review

NPPES record last updated: December 9, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Shenavian Fredita Goodman Lpn NPPES

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

MS. SHENAVIAN FREDITA GOODMAN LPN (NPI 1679790737) is an individual licensed practical nurse in Jacksonville, Florida, licensed in Florida (PN5154281) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1679790737

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMS. SHENAVIAN FREDITA GOODMANCredential: LPN

Location Address1601 DUNN AVE APT 504Jacksonville, FL 32218-4737

Mailing Address1601 Dunn Ave Apt 504Jacksonville, FL 32218-4737 · (904) 379-4931

Phone(904) 379-4931

Sole ProprietorNo

Enumeration DateApril 19, 2007

Last NPPES UpdateDecember 9, 2008

✔ NPI 1679790737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in FL · PN5154281

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

1601 DUNN AVE APT 504, Jacksonville, FL 32218

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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 Shenavian Goodman's NPI number?

The NPI number for Shenavian Goodman is 1679790737. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Where is Shenavian Goodman located?

Shenavian Goodman practices at 1601 Dunn Ave Apt 504, Jacksonville, FL 32218. The listed phone number is (904) 379-4931.

What is Shenavian Goodman's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Shenavian Goodman was last updated on December 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.