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

Tiffany Marie Goodman, AGPCNP-BC

Individual provider Primary Care Nurse Practitioner · NPI 1265169676

Tiffany Marie Goodman, AGPCNP-BC is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2022, 4 years ago. Practices with Rpinmd LLC, a 13-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
4
Licensed in
IN
In the registry since
2022
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Practice location Address checks out

10730 Hunter Lake Ln
Indianapolis, IN 46239-8986
Phone: (317) 531-1783
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 2022030116 (IN)

Record details

NPI number1265169676
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-BC
Sole proprietorNo
NPI enumeratedAugust 5, 2022
Last updated in NPPESAugust 5, 2022
Certification dateAugust 5, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Rpinmd Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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