Goodm Samaritan Rides

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

GOODM SAMARITAN RIDES

Practice address

180 Crown Colony Dr
Prosper, TX 75078-7045

Phone

(469) 585-4001

NPI assigned

Jul 23, 2024

Organization subpart

No

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

Authorized official

Name

Derek Clark Esty

Title

Owner

Phone

(469) 585-4001

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1275361099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 CROWN COLONY DR",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750787045",
            "telephone_number": "469-585-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 CROWN COLONY DR",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750787045",
            "telephone_number": "469-585-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODM SAMARITAN RIDES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "ESTY",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-585-4001"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suelen Goia DO Prado Lima Spier
• Keonta Golson, LPC-A
• Maria Laura Gomez, M.ED - BCBA
• Rochell Gonzalez
• Good Guys PLLC
• Kristi K Goodson, MD
• Jairam Gorle, RPH
• Suhani Gosalia
• Clarissa V Gotcher, MS, CCC-SLP
• Graceful Haven Behavioral Health and Wellness LLC

• Private Vehicle in Prosper, TX
• Providers in Prosper, TX by specialty
• Private Vehicle in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.