SHELBY GOODWIN
NPI 1962294546
Student in an Organized Health Care Education/Training Program in Venice, CA

Active since May 20, 2025
204 HAMPTON DR, VENICE, CA 90291(310) 396-6468 Get Directions Write a Review

NPPES record last updated: September 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shelby Goodwin NPPES

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

SHELBY GOODWIN (NPI 1962294546) is an individual student in an organized health care education/training program in Venice, California and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1962294546
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHELBY GOODWIN
Location Address204 HAMPTON DRVenice, CA 90291-2623
Mailing Address1016 Tiverton AveLos Angeles, CA 90024-3073
Sole ProprietorNo
Enumeration DateMay 20, 2025
Last NPPES UpdateSeptember 27, 2025
NPPES CertifiedSeptember 27, 2025
NPI 1962294546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedBehavior TechnicianTaxonomy 106S00000X · License RBT-25-421477 (CA)
204 HAMPTON DR, Venice, CA 90291

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.

Social Worker (Clinical)
204 HAMPTON DR
VENICE, CA 90291
Counselor (Mental Health)
204 HAMPTON DR
VENICE, CA 90291
Counselor (Mental Health)
204 HAMPTON DR
VENICE, CA 90291
Student in an Organized Health Care Education/Training Program
204 HAMPTON DR
VENICE, CA 90291
Case Manager/Care Coordinator
204 HAMPTON DR
VENICE, CA 90291
Student in an Organized Health Care Education/Training Program
204 HAMPTON DR
VENICE, CA 90291
Case Manager/Care Coordinator
204 HAMPTON DR, 13
VENICE, CA 90291
Psychologist
204 HAMPTON DR
VENICE, CA 90291

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 Shelby Goodwin's NPI number?

The NPI number for Shelby Goodwin is 1962294546. It was assigned to this individual provider in the NPPES registry on May 20, 2025.

Where is Shelby Goodwin located?

Shelby Goodwin practices at 204 Hampton Dr, Venice, CA 90291. The listed phone number is (310) 396-6468.

What is Shelby Goodwin'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 Shelby Goodwin was last updated on September 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.