Yuleinis Goderich Garcia

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

6720 Walla Walla Dr
Las Vegas, NV 89107-3347

Phone

(702) 609-1849

NPI assigned

Feb 15, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Yuleinis Goderich Garcia Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1326504283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 WALLA WALLA DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891073347",
            "telephone_number": "702-609-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 WALLA WALLA DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891073347",
            "telephone_number": "702-609-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODERICH GARCIA",
        "first_name": "YULEINIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-15",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "462777292",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YULEINIS",
            "last_name": "GODERICH GARCIA",
            "credential": "SELF",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hannah Paige Goddard, BS
• Jesse James Goddard
• Mykaela Goddard
• Stephanie May Godek-Deluna
• James Godek
• Jovylen Godes
• Amanda Godfrey, OTD, OTR/L
• David Godfrey
• Holly Godfrey, CPC INTERN
• Jeffery Godfrey

• Personal Care Attendant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Personal Care Attendant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.