MEDICARE: SHELLEY GOODWIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1477379253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELLEY GOODWIN

Provider Business Mailing Address
First Line	:	6308 BLUE TWILIGHT CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-6446
Country	:	US
Telephone Number	:	775-309-3418
Fax Number	:

Provider Business Practice Location Address
First Line	:	6308 BLUE TWILIGHT CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-6446
Country	:	US
Telephone Number	:	775-309-3418
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/26/2024
Last Update Date	:	11/26/2024

Similar Medicare Providers

1326936550 — NICOLE HILLIARD CPS
Practice Location Address:

6328 BLUE TWILIGHT CT
LAS VEGAS, NV
89108-6446

Practice Phone: 470-406-9061
Practice Fax:

1669024477 — MARIA D ORTIZ-HUEY
Practice Location Address:

3045 BUBLIN BAY AVE
NORTH LAS VEGAS, NV
89081-6446

Practice Phone: 702-727-9941
Practice Fax:

1497023105 — LESLIE M SIMS MD PLLC
Practice Location Address:

9360 W FLAMINGO RD STE 110
LAS VEGAS, NV
89147-6446

Practice Phone: 702-437-1111
Practice Fax: 702-202-3546

1205108867 — WHITNEY WILSON
Practice Location Address:

6446 GLORY RISE CT
LAS VEGAS, NV
89142-2842

Practice Phone: 702-612-9514
Practice Fax:

1679906572 — CYNTHIA BROWN
Practice Location Address:

6446 DIEGO DR
LAS VEGAS, NV
89156-7072

Practice Phone: 702-449-6449
Practice Fax:

1053663450 — TERRANCE ALFONSO WILLIAMS JR.
Practice Location Address:

5317 REDBERRY ST
LAS VEGAS, NV
89108-4019

Practice Phone: 702-371-7970
Practice Fax:

Directions to “ SHELLEY GOODWIN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.