Good Life Healthcare Solutions, Inc

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

DS0000004867 Issued in TN

Legal business name

GOOD LIFE HEALTHCARE SOLUTIONS, INC

Practice address

9329 Middlebrook Pike
Knoxville, TN 37931-4704

Phone

(865) 333-1611

NPI assigned

Jul 12, 2017

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Debra Marie Hall - Fisher, RDH, RDA

Title

President/ Ceo

Phone

(865) 333-1611

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1962924738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30608",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379300608",
            "telephone_number": "865-333-1611",
            "fax_number": "800-879-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9329 MIDDLEBROOK PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379314704",
            "telephone_number": "865-333-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIFE HEALTHCARE SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-12",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "HALL - FISHER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "865-333-1611",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDH, RDA"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "TN",
            "license": "DS0000004867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RONALD W. SMITH, DDS",
            "identifier": "1578665923",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVID B. LEE, DDS",
            "identifier": "1417052903",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHARLES DANIEL FISHER, DDS",
            "identifier": "1003961780",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katelynn Marie Gonzales
• Keilah Isabel Gonzalez-Bonilla, M.D.
• Diana Gonzalez-Soto
• Lorena Gonzalez, RDN
• Evelyn Gooch, MSSW
• Edward F.M. Good, MD
• Grace Goodacre
• Paige Philp Goodale, MED LCSW
• Susan Wood Goodall, NP-C
• Damorrah Goode

• Public Health Dentistry in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Public Health Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.