Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dante Goodwin, AGNP

Individual provider Adult Health Nurse Practitioner · NPI 1104479153

Dante Goodwin, AGNP is a Nurse Practitioner in New Britain, Connecticut. Qualified in 2018, 8 years ago. Practices with Charter Oak Health Center, Inc, a 37-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
8
Licensed in
CT
In the registry since
2019
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

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Practice location Address checks out

55 Grand St
New Britain, CT 06052-2021
Phone: (860) 223-3617
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 8293 (CT)

Record details

NPI number1104479153
Entity typeIndividual (Type 1)
GenderMale
Credentials AGNP
Sole proprietorYes
NPI enumeratedJuly 18, 2019
Last updated in NPPESJuly 18, 2019
Mailing address1274 E Main St Apt C13, Meriden, CT 06450-4868

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Charter Oak Health Center, Inc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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