Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922599935 Individual Practitioner Female Practitioner

Stacy Goodwin

Licensed Practical Nurse • Roseburg, OR

Professional Overview & Biography Verified Profile Summary

Stacy Goodwin is a registered healthcare professional specializing in Licensed Practical Nurse in Roseburg, OR. Practice services are available at 621 W MADRONE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

621 W Madrone St

Roseburg, OR 974703090

Telephone 5414920241
Associated Practice Facility / Clinic
🏢 Adapt Facility NPI 1720010549

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Roseburg, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
25 Specialists

Practicing in Roseburg, OR (741 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 OR 201709844LPN

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

34 Associated Practitioners
Jamie Williams

Counselor - Addiction (Substance Use Disorder)

NPI 1053803833
Amy Cox

Case Manager/Care Coordinator

NPI 1134785157
Jessica Cislo

Counselor - Mental Health

NPI 1164906517
Lisa Cook

Case Manager/Care Coordinator

NPI 1235695586
Stacey Ward

Case Manager/Care Coordinator

NPI 1255890497
Halena Robbins

Counselor - Addiction (Substance Use Disorder)

NPI 1295261238

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 24, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 24, 2018

Registered at 621 W MADRONE ST, ROSEBURG, OR 974703090 (Tel: 5414920241)

📍
Updated Business Mailing Address May 24, 2018

Registered at PO BOX 1121, ROSEBURG, OR 974700254

👤
Provider Name / Credentials Updated May 24, 2018

Recorded as STACY GOODWIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2018

Licensed Practical Nurse (License #201709844LPN in OR)

🟢
Initial NPI Registration & Enumeration May 24, 2018

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: 1922599935
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2018
Last Update: May 24, 2018
Sole Proprietor: No

Mailing Address

Po Box 1121

Roseburg, OR 974700254

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.