Individual provider Active NPI

Heather A Goodall, APRN

  • Family Nurse Practitioner
  • Kingsville, TX
National Provider Identifier
1053557645
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134790 Issued in TX
Practice address
500 E Caesar Ave
Kingsville, TX 78363-6322
Phone
(361) 516-0800
Fax
(361) 516-0855
NPI assigned
Jan 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP134790 TX Primary

Addresses

Primary practice location

500 E Caesar Ave
Kingsville, TX 78363-6322

Mailing address

500 E Caesar Ave
Kingsville, TX 78363-6322
Phone (361) 516-0800

Other identifiers 3

IdentifierTypeStateIssuer
P01000559OtherKYRAILROAD MEDICARE
7100099720MedicaidKY
000000698117OtherKYANTHEM BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180503000147 TX Practitioner - Nurse Practitioner 0345307609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Rabagos Health Care PLLCGroup PAC ID 5991926032, 17 clinicians

Practice addresses (Care Compare)

500 E Caesar Ave
Statcare Minor Emergency Clinic
Kingsville, TX 78363-6322
Phone (361) 516-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rabagos Health Care PLLC CurrentSince Oct 1, 2025 Accepting new patients
QC Professional PLLC PastSince Oct 1, 2025 Accepting new patients
Owensboro Health Medical Group Inc Family Past Accepting new patients
Jones Medical Corp Past Accepting new patients
Owensboro Health Medical Group, Inc Family Past Accepting new patients

Locations

7201 Mansions Dr
Corpus Christi, TX 78414
Phone (361) 334-1040

6646 S Staples St
Ste 122
Corpus Christi, TX 78413
Phone (361) 334-2023

3817 Spid Dr
Corpus Christi, TX 78415
Phone (361) 334-2035

4042 River Hill Dr
Corpus Christi, TX 78410
Phone (361) 933-5187

500 E Caesar Ave
Kingsville, TX 78363
Phone (361) 516-0097

2102 FM 2165
Rockport, TX 78382
Phone (361) 556-5770

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1053557645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E CAESAR AVE",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783636322",
            "telephone_number": "361-516-0800",
            "fax_number": "361-516-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E CAESAR AVE",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783636322",
            "telephone_number": "361-516-0800",
            "fax_number": "361-516-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODALL",
        "first_name": "HEATHER",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-02",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01000559",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100099720",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000698117",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsville, TX

Sources for this page

Verify at the official NPI Registry.