Ridasha Gobert, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

855964 Issued in TX

Practice address

1818 24TH St
Orange, TX 77630-3107

Phone

(409) 920-5190

NPI assigned

Aug 2, 2024

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

• Ridasha Hafford Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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 and National Provider Directory roles.

• HB & G Investments, LLC

  • Home Health Agency
  • Orange, TX
  • NPI 1902467236
  NPD Authorized official

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1245060474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 24TH ST",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776303107",
            "telephone_number": "409-920-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 24TH ST",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776303107",
            "telephone_number": "409-920-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBERT",
        "first_name": "RIDASHA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "855964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RIDASHA",
            "last_name": "HAFFORD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• General Anesthesiology Services, P a
• George Silver, DPM, PA
• Morgan Juliann Gillis, OD
• Nancy Gillis, HIS
• Alyssa B Gilman, M.S. SLP
• Golden Triangle Living Center, Inc
• Golden Triangle Living Centers, Inc.
• Golden Triangle Living Centers, Inc.
• Golden Triangle Living Centers, Inc.
• Gordon and Parker, LLP

• All providers in Orange, TX
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.