Individual provider Active NPI

Terra Deann Goans, RN, BSN, BS, AS

  • Rehabilitation Psychologist
  • Enid, OK
National Provider Identifier
1427377498
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PsychologistTaxonomy code 103TR0400X
Practice address
121 W Maple Ave
Enid, OK 73701-4027
Phone
(580) 234-8865
Fax
(580) 234-8361
NPI assigned
May 28, 2010
Last updated
May 28, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Psychologist 103TR0400X NU Primary

Addresses

Primary practice location

121 W Maple Ave
Enid, OK 73701-4027

Mailing address

121 W Maple Ave
Enid, OK 73701-4027
Phone (580) 234-8865

Other names 1

  • Terra Deann Leavengood Other name

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
Associate of Science, Bachelor of Science, Bachelor on Science - Nursing, Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275004800000",
    "number": "1427377498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W MAPLE AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737014027",
            "telephone_number": "580-234-8865",
            "fax_number": "580-234-8361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W MAPLE AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737014027",
            "telephone_number": "580-234-8865",
            "fax_number": "580-234-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOANS",
        "first_name": "TERRA",
        "middle_name": "DEANN",
        "credential": "RN, BSN, BS, AS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-28",
        "last_updated": "2010-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRA",
            "last_name": "LEAVENGOOD",
            "middle_name": "DEANN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.