Individual provider Active NPI

Lavinia S Goto, RN, DHA

  • Diabetes Educator Registered Nurse
  • Keizer, OR
National Provider Identifier
1932473618
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
200340299RN Issued in OR
Practice address
3410 Cherry Ave NE
Keizer, OR 97303-4924
Phone
(503) 304-3408
Fax
(503) 304-3434
NPI assigned
Feb 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 200340299RN OR
Case Management Registered Nurse 163WC0400X 200340299RN OR
Diabetes Educator Registered Nurse 163WD0400X 200340299RN OR Primary

Addresses

Primary practice location

3410 Cherry Ave NE
Keizer, OR 97303-4924

Mailing address

3410 Cherry Ave NE
Keizer, OR 97303-4924
Phone (503) 304-3408

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

LicenseStateTypeSpecialty
200340299RNORMDDiabetes Educator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Wellness Network LLC Diabetes Educator Current Accepting new patients
Oregon Wellness Network LLC Current Accepting new patients

Locations

3410 Cherry Ave NE
Keizer, OR 97303
Phone (503) 304-3400

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": "1330387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1932473618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 CHERRY AVE NE",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034924",
            "telephone_number": "503-304-3408",
            "fax_number": "503-304-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 CHERRY AVE NE",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034924",
            "telephone_number": "503-304-3408",
            "fax_number": "503-304-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTO",
        "first_name": "LAVINIA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "RN, DHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-28",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "200340299RN",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "OR",
            "license": "200340299RN",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "OR",
            "license": "200340299RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keizer, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.