Provider Demographics
NPI:1518456326
Name:GOODING, DARRIN JOSEPH (APRN)
Entity type:Individual
Prefix:MR
First Name:DARRIN
Middle Name:JOSEPH
Last Name:GOODING
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 THORNDALE CIR
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:DE
Mailing Address - Zip Code:19962-1650
Mailing Address - Country:US
Mailing Address - Phone:410-693-0990
Mailing Address - Fax:
Practice Address - Street 1:98 THORNDALE CIR
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:DE
Practice Address - Zip Code:19962-1650
Practice Address - Country:US
Practice Address - Phone:410-693-0990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-07
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR246624363LF0000X, 363LP0808X
PASP027703363LP0808X
AK133421363LF0000X
VA0024188760363LP0808X
AK112430163W00000X
DEL1-0070520363LF0000X
DEL8-0010376363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse