Goodwill Industries of East Texas, Inc.

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

GOODWILL INDUSTRIES OF EAST TEXAS, INC.

Practice address

1817 Loop 323 WSW
Tyler, TX 75701

Phone

(903) 581-5422

NPI assigned

Jun 10, 2016

Organization subpart

No

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

Authorized official

Name

Kimberly B. Lewis

Title

President/Ceo

Phone

(903) 593-8438

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anita Smith X, LPC

  • Counselor
  • Tyler, TX
  • NPI 1366809287
  NPD (past)

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1609225515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W LOCUST ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757025644",
            "telephone_number": "903-593-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 LOOP 323 WSW",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75701",
            "telephone_number": "903-581-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF EAST TEXAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "903-593-8438"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Channa Terese Goodman, RN
• Nicole Goodman, ATC, LAT
• Claudia Goodsett
• Emieligh Taylor Goodson, SLPA
• Goodwill Industries of East Texas, Inc.
• Warren D Goodwin, CCP
• Tiffany Goodwyn, PTA
• Judy Carolyn Googins, MD
• Seth Lyle Goolsbee, OD
• Pooja Parimal Goradia, MD

• Voluntary or Charitable Agency in Tyler, TX
• Providers in Tyler, TX by specialty
• Voluntary or Charitable Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.