Latrecia Goodie

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP132156 Issued in TX

Practice address

6800 West Loop S Ste 560
Bellaire, TX 77401-4516

Phone

(713) 839-7111

NPI assigned

Jan 2, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Latrecia Prince Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• St Hope Foundation Inc

  • Federally Qualified Health Center (FQHC)
  • Sugar Land, TX
  • NPI 1992869846

  TX

  Medicare reassignment NPD
• St Hope Foundation Inc

  • Federally Qualified Health Center (FQHC)
  • Conroe, TX
  • NPI 1265581144
  NPD
• St. Hope Foundation, Inc

  • Federally Qualified Health Center (FQHC)
  • Jersey Village, TX
  • NPI 1952078990
  NPD
• St. Hope Foundation, Inc.

  • Clinic/Center
  • Conroe, TX
  • NPI 1497097604
  NPD (past)

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

{
    "created_epoch": "1483315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1154866085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 WEST LOOP S STE 560",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014516",
            "telephone_number": "469-321-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 WEST LOOP S STE 560",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014516",
            "telephone_number": "713-839-7111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16316 Fm 529 Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770951464",
            "country_code": "US",
            "telephone_number": "281-861-7292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6200 Savoy Dr Ste 540",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770363338",
            "country_code": "US",
            "telephone_number": "713-778-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODIE",
        "first_name": "LATRECIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-02",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATRECIA",
            "last_name": "PRINCE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew Robert Gol, PH.D.
• Leonard H. Goldberg, M.D.
• Leslie Ann Gomez
• Marissa Lee Gonzalez, APRN-CNP, FNP-C
• Mildred Gonzalez
• Brian Goonan, PH.D.
• Lauren Jean Goonan, PH.D., LSSP
• Bharathi Gopalakrishna, PA-C
• Grace Ambulance Transport LLC
• Grace Ambulance Transport, LLC

• All providers in Bellaire, TX
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.