Active NPI
Angela Michelle Goldsmith
- Case Manager/Care Coordinator
- Edmond, OK
National Provider Identifier
1962090720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 13707 Fairhill Ave
Edmond, OK 73013-1946 - Phone
- (405) 607-4041
- NPI assigned
- Jan 7, 2021
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
13707 Fairhill Ave
Edmond, OK 73013-1946
Mailing address
2117 S Robinson Ave
Moore, OK 73170-7407
Phone (405) 501-0891
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways Medical LLC | Current | Accepting new patients | |
| Pathways Professional Counseling LLC | Current | Accepting new patients |
Locations
13707 Fairhill Ave
Edmond, OK 73013
Phone (405) 412-3494
Interoperability endpoints
- https://api.platform.athenahealth.com/13010/brand/1/csg/1/fhir/r4
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.
-
- Primary Care Clinic/Center
- Edmond, OK
- NPI 1194185090
-
- Community/Behavioral Health Agency
- Oklahoma City, OK
- NPI 1043392558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609977600000",
"number": "1962090720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2117 S ROBINSON AVE",
"city": "MOORE",
"state": "OK",
"postal_code": "731707407",
"telephone_number": "405-501-0891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13707 FAIRHILL AVE",
"city": "EDMOND",
"state": "OK",
"postal_code": "730131946",
"telephone_number": "405-607-4041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSMITH",
"first_name": "ANGELA",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-07",
"last_updated": "2021-01-07",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.