Lisa Diane Goode
Individual provider Active NPI Community Health Worker · Greenfield, IL
NPI 1548042245 · NPPES record last updated Oct 17, 2023
Key facts
- NPI
- 1548042245
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 502 Chestnut St
Greenfield, IL 62044-1305 - Phone
- (217) 368-2667
- Fax
- (217) 368-3140
- NPI assigned
- Oct 17, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmacy Plus, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
502 Chestnut St
Greenfield, IL 62044-1305
Mailing address
502 Chestnut St
Greenfield, IL 62044-1305
Phone (217) 368-2667
Other providers in Greenfield, IL
- Mark G Benedict
- Greenfield Cu School Dist 10
- Michon Lea Hawkins
- Donald J Hawrysz
- Pharmacy Plus, Inc.
- Thomas H. Boyd Memorial Hospital
All providers in Greenfield, IL · Community Health Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.