Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699966606 Individual Practitioner Female Practitioner

Amy Marie Goodwin , LPN

Licensed Practical Nurse • Camillus, NY

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Amy Goodwin, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Camillus, NY. Official NPI practice address is registered at 22 UNION ST.

Practice Location & Contact Primary Location

Practice Address

22 Union St

Camillus, NY 130311019

Telephone 3153204080
Fax 3153204080

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Camillus, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
22 Specialists

Practicing in Camillus, NY (23738 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 259430

An individual 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
01959159 (NY)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 05, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location August 05, 2007

Registered at 22 UNION ST, CAMILLUS, NY 130311019 (Tel: 3153204080)

📍
Updated Business Mailing Address August 05, 2007

Registered at 22 UNION ST, CAMILLUS, NY 130311019 (Tel: 3153204080)

👤
Provider Name / Credentials Updated August 05, 2007

Recorded as AMY GOODWIN, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2007

Licensed Practical Nurse (License #259430 in NY)

🟢
Initial NPI Registration & Enumeration August 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699966606
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2007
Last Update: August 05, 2007
Sole Proprietor: No

Mailing Address

22 Union St

Camillus, NY 130311019

Phone: 3153204080

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.