Individual
JUDY R. RIDPATH GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP, NNP-BC
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(214) 590-8006
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
AP114446
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
243156
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176068801
—
TX
05
—
176068802
—
TX
01
—
8Y0818
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/09/2005
Last updated
02/09/2026
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