Individual provider Active NPI

Norma Leticia Goodrich, AG08200038

  • Psychiatric/Mental Health Nurse Practitioner
  • Okeechobee, FL
National Provider Identifier
1669087722
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN1108988 Issued in FL
Practice address
308 NW 5TH Ave
Okeechobee, FL 34972-2568
Phone
(863) 261-8354
Fax
(863) 638-5637
NPI assigned
Sep 14, 2020
Last updated
Aug 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11008988 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN1108988 FL Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 11008988 FL

Addresses

Primary practice location

308 NW 5TH Ave
Okeechobee, FL 34972-2568

Mailing address

19265 NW 252ND St
Okeechobee, FL 34972-6966
Phone (863) 610-3530

Other practice location 1

19265 NW 252nd St
Okeechobee, FL 34972-6966
Phone (863) 610-3530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210414000381 FL Practitioner - Nurse Practitioner 7214345115 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health Haven LLCGroup PAC ID 7911212634, 25 clinicians

Practice addresses (Care Compare)

308 NW 5TH Ave
Okeechobee, FL 34972-2568
Phone (516) 640-6937

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95
Improvement activities
40
Cost
75.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11008988FLMDGeriatric Medicine (Internal Medicine) Physician
APRN11008988FLMDFamily Nurse Practitioner
APRN1108988FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Haven LLC Multi-Specialty CurrentSince Apr 11, 2022 Accepting new patients
Integrated Wound Care Florida PLLC Multi-Specialty CurrentSince Mar 15, 2021 Accepting new patients

Locations

700 S 29th St
Fort Pierce, FL 34947
Phone (772) 465-7560

308 NW 5th Ave
Okeechobee, FL 34972
Phone (516) 640-6937

492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1669087722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19265 NW 252ND ST",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349726966",
            "telephone_number": "863-610-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 NW 5TH AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722568",
            "telephone_number": "863-261-8354",
            "fax_number": "863-638-5637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19265 NW 252nd St",
            "address_purpose": "LOCATION",
            "city": "Okeechobee",
            "state": "FL",
            "postal_code": "349726966",
            "country_code": "US",
            "telephone_number": "863-610-3530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODRICH",
        "first_name": "NORMA",
        "middle_name": "LETICIA",
        "credential": "AG08200038",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11008988",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN1108988",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "11008988",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okeechobee, FL

Sources for this page

Verify at the official NPI Registry.