Taylor Goldsby

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R0120261 Issued in OK

Practice address

109 E Kerby Ave
Washington, OK 73093

Phone

(405) 335-4035

NPI assigned

Feb 24, 2025

Last updated

Feb 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Central Medical and Resource Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Lindsay, OK
  • NPI 1366585564
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1023814464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 E CHESTNUT RD",
            "city": "GOLDSBY",
            "state": "OK",
            "postal_code": "730939111",
            "telephone_number": "405-650-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E KERBY AVE",
            "city": "WASHINGTON",
            "state": "OK",
            "postal_code": "73093",
            "telephone_number": "405-335-4035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 W. Comanche",
            "address_purpose": "LOCATION",
            "city": "Lindsay",
            "state": "OK",
            "postal_code": "73052",
            "country_code": "US",
            "telephone_number": "405-756-1414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "216 S Main St",
            "address_purpose": "LOCATION",
            "city": "Lindsay",
            "state": "OK",
            "postal_code": "730525634",
            "country_code": "US",
            "telephone_number": "405-756-1414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "504 Williams",
            "address_purpose": "LOCATION",
            "city": "Maysville",
            "state": "OK",
            "postal_code": "730573679",
            "country_code": "US",
            "telephone_number": "405-756-1414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 W Iowa Ave",
            "address_purpose": "LOCATION",
            "city": "Chickasha",
            "state": "OK",
            "postal_code": "730182738",
            "country_code": "US",
            "telephone_number": "405-756-1414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSBY",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0120261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey Linn Barnes, CASE MANAGER
• Deana Ann Ford, M.A.
• Rachelle Franklin
• Latosha Hardcastle
• Jennifer Lynn Knight, M.A. CCC-SLP
• Robert Don Malmberg, PRSS
• Rachelle Metcalf, LPC
• Scarlett Baker Tague, BA

• Registered Nurse in Washington, OK
• Providers in Washington, OK by specialty
• Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.