Individual provider · Type 1 NPI

Kia Goddard

Registered Nurse · Wantagh, NY

NPI number 1073411096 Active

Practice location

1400 Wantagh Ave
Wantagh, NY 11793-2257

Mailing address

1400 Wantagh Ave Ste 202
Wantagh, NY 11793-2210

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X766757 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1073411096

Kia Goddard's National Provider Identifier is 1073411096, issued on Oct 29, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Wantagh, NY. The record was last updated on Oct 29, 2026.