IndividualActive
Andrea Goodman, MSPAS, PA-C
NPI 1699050781 · Physician Assistant · Albuquerque, NM
Provider details
- NPI number
- 1699050781
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSPAS, PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 085004195 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Msc06 3870 1 University of New Mexico
Albuquerque, NM 87131
Phone: (505) 277-3136
Approximate (ZIP-level) locationGet directions
Mailing address
19 Holiday Loop
Tijeras, NM 87059-7896
Additional practice locations (2)
- 374 E Grand AveMail Code 6740Carbondale, IL 62901-3962Phone: (618) 453-3311
- 374 E Grand AveMail Code 6740Carbondale, IL 62901-3962Phone: (618) 453-3311
Registry dates
- Enumerated
- 2011-10-20
- Last updated
- 2019-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.