Chantil Goree

Primary specialty

DriverTaxonomy code 172A00000X

License

16397786 Issued in TX

Practice address

2601 Pearl
Seagoville, TX 75159-2457

Phone

(214) 957-7702

NPI assigned

Mar 2, 2021

Last updated

Mar 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Chantil Goree Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1902491905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 PEARL",
            "city": "SEAGOVILLE",
            "state": "TX",
            "postal_code": "751592457",
            "telephone_number": "214-957-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 PEARL",
            "city": "SEAGOVILLE",
            "state": "TX",
            "postal_code": "751592457",
            "telephone_number": "214-957-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOREE",
        "first_name": "CHANTIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "TX",
            "license": "16397786",
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "TX",
            "license": "16397786",
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "TX",
            "license": "16397786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANTIL",
            "last_name": "GOREE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Fathers Rise Together
• Charla Gaylean Frazier, BCBA
• Kelley Ann Garza
• Edward Louis Gelber, P.A.
• Keyondra Gent, LVN
• Debra M Gulledge, MA LPC DCC
• Portia Harvey, LPC
• Haynes-Way Transportation (Haynes-Way En Route)
• Katrina Haynes
• Charlotte Diane Hernandez, RN, BSN

• Driver in Seagoville, TX
• Providers in Seagoville, TX by specialty
• Driver in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.