Active NPI
Caitlin K Goad, OTR/L
- Specialist
- Farmington, NM
National Provider Identifier
1700338191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 3576
- Practice address
- 1400A E 20TH St
Farmington, NM 87401-9024 - Phone
- (505) 599-8617
- NPI assigned
- Nov 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 3576 | NM | Primary |
Addresses
Primary practice location
1400A E 20TH St
Farmington, NM 87401-9024
Mailing address
616 Mesa Vista Dr
Farmington, NM 87401-2843
Phone (636) 288-3048
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3576 | NM | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477958400000",
"number": "1700338191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 MESA VISTA DR",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874012843",
"telephone_number": "636-288-3048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400A E 20TH ST",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874019024",
"telephone_number": "505-599-8617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOAD",
"first_name": "CAITLIN",
"middle_name": "K",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-01",
"last_updated": "2016-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NM",
"license": "3576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.