Ketasha Goodwin

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

377 Clonce St
Weber City, VA 24290-7269

Phone

(276) 477-5640

NPI assigned

Dec 1, 2019

Last updated

Dec 1, 2019By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1575158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575158400000",
    "number": "1942847769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 OAKWOOD AVE",
            "city": "PENNINGTON GAP",
            "state": "VA",
            "postal_code": "242772539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 CLONCE ST",
            "city": "WEBER CITY",
            "state": "VA",
            "postal_code": "242907269",
            "telephone_number": "276-477-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "KETASHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-01",
        "last_updated": "2019-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Alice Fields
• Nikki Fields
• FMSC Weber City Operating Company LLC (Brian Center Health & Rehabilitation Center/Scott County)
• Frontier Health (Scott County Behavioral Health Services)
• Kristie L Galloway, FNP
• Mary Kaitlyn Green, PHARMD
• Angela Grizzle, P.T
• Heartland South Inc
• Crystal Hensley, LPTA
• Rebecca J Hillman, LPTA

• Occupational Therapy Assistant in Weber City, VA
• Providers in Weber City, VA by specialty
• Occupational Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2019; 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.