Active NPI
Hitashia Nichole Goodmon, MS, BS, EIS
- Home Health Agency
- Texarkana, TX
National Provider Identifier
1396374435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 3427 New Boston Rd
Texarkana, TX 75501-3137 - Phone
- (414) 610-1426
- NPI assigned
- Apr 1, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | TX | ||
| Case Manager/Care Coordinator | 171M00000X | |||
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
3427 New Boston Rd
Texarkana, TX 75501-3137
Mailing address
1610 Rosewood Street
Texarkana, TX 75501
Phone (414) 610-1426
Other names 1
- Hitashia Nichole Goodmon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science, Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graced &Gifted Hands Home Health LLC | Home Health | Current | Accepting new patients |
| Push Consultants LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Home Health Agency
- Texarkana, TX
- NPI 1124781679
-
- Community/Behavioral Health Agency
- Texarkana, AR
- NPI 1609356096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633651200000",
"number": "1396374435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 ROSEWOOD STREET",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "75501",
"telephone_number": "414-610-1426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3427 NEW BOSTON RD",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755013137",
"telephone_number": "414-610-1426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMON",
"first_name": "HITASHIA",
"middle_name": "NICHOLE",
"name_prefix": "Miss",
"credential": "MS, BS, EIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-01",
"last_updated": "2021-10-08",
"certification_date": "2021-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HITASHIA",
"last_name": "GOODMON",
"middle_name": "NICHOLE",
"credential": "MS,BS,EIS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.