Active NPI
Destini L Goins, RN
- Registered Nurse
- Jay, OK
National Provider Identifier
1891239976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 92526
- Practice address
- 859 E Melton Drive
Jay, OK 74346 - Phone
- (918) 253-1740
- Fax
- (918) 253-6822
- NPI assigned
- Dec 8, 2016
- Last updated
- Dec 8, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 92526 | OK | Primary |
Addresses
Primary practice location
859 E Melton Drive
Jay, OK 74346
Mailing address
859 E Melton Drive
Jay, OK 74346
Phone (918) 253-1740
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92526 | OK | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481155200000",
"number": "1891239976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "859 E MELTON DRIVE",
"city": "JAY",
"state": "OK",
"postal_code": "74346",
"telephone_number": "918-253-1740",
"fax_number": "918-253-6822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "859 E MELTON DRIVE",
"city": "JAY",
"state": "OK",
"postal_code": "74346",
"telephone_number": "918-253-1740",
"fax_number": "918-253-6822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOINS",
"first_name": "DESTINI",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-08",
"last_updated": "2016-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OK",
"license": "92526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jay, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.