Latonya Goodman

Individual provider Active NPI Personal Care Attendant · Stigler, OK

NPI 1043661317 · NPPES record last updated Jun 28, 2016

Key facts

NPI
1043661317
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
309 NW E St
Stigler, OK 74462-1870
Phone
(918) 967-8875
Fax
(918) 967-4550
NPI assigned
Jun 28, 2016
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Stigler Public Schools Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

309 NW E St
Stigler, OK 74462-1870

Mailing address

309 NW E St
Stigler, OK 74462-1870
Phone (918) 967-8875

Other providers in Stigler, OK

All providers in Stigler, OK · Personal Care Attendant in Oklahoma

Sources for this page

Verify at the official NPI Registry.