Individual provider Active NPI

Rhamonia Lynetta Goodlow, LPN

  • Licensed Practical Nurse
  • Pine Bluff, AR
National Provider Identifier
1801631296
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
L042210 Issued in AR
Practice address
2410 Rike Dr
Pine Bluff, AR 71603-3935
Phone
(870) 534-2035
Fax
(870) 534-2058
NPI assigned
Jun 27, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X L042210 AR Primary

Addresses

Primary practice location

2410 Rike Dr
Pine Bluff, AR 71603-3935

Mailing address

7904 Windsong CV
Pine Bluff, AR 71603-8233
Phone (870) 663-6666

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

LicenseStateTypeSpecialty
L042210ARMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Jenkins Housing Inc PastSince Jun 30, 2024 Accepting new patients
Jenkins Memorial Center & Jenkins Industries, Inc. PastSince Jun 30, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1801631296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7904 WINDSONG CV",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716038233",
            "telephone_number": "870-663-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 RIKE DR",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716033935",
            "telephone_number": "870-534-2035",
            "fax_number": "870-534-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODLOW",
        "first_name": "RHAMONIA",
        "middle_name": "LYNETTA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AR",
            "license": "L042210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.