Tiffany Goshatt

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703106260 Issued in MI

Practice address

18570 San Jose Blvd
Lathrup Village, MI 48076-7801

Phone

(313) 799-6037

NPI assigned

Jun 3, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Tiffany Goshatt

  • Home Health Agency
  • Lathrup Village, MI
  • NPI 1346616455
  NPD (past) Authorized official

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1447609151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18570 SAN JOSE BLVD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480767801",
            "telephone_number": "313-799-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18570 SAN JOSE BLVD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480767801",
            "telephone_number": "313-799-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSHATT",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703106260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Thomas Gilas, M. D.
• Gilbert Neurological Assoc PLLC
• Neil Gilbert, M.D.
• Kia Glass, OTR
• Global Care Medical Supply, LLC
• Groesbeck RX LLC
• Guardian Home Health Care, PLLC
• Michael Haddow, D.D.S.,M.S.D.
• Hair Revolution LLC
• Hair Vanity LLC

• All providers in Lathrup Village, MI
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.