MRS. TARA GOODSON (NPI# 1083039101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083039101 |
| Entity Type | Individual |
| Full Name | MRS. TARA GOODSON |
| Practice Address |
1605 N Harrison St Shawnee OK 74804-4022 |
| Mailing Address |
2064 Hwy 27 Wetumka OK 74883 |
| Practice Telephone | 4053808033 |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2016-05-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114355294 | Tara Goodson | Chiropractor | 2060 Harper St, Choctaw, OK 73020-8051 | 2013-10-28 |
| 1760788327 | Tara Goodson | Occupational Therapist | 2445 140th Ave Ne, Suite B105, Bellevue, WA 98005-1879 | 2011-01-31 |
| 1578773123 | Tara Michele Goodson | Physical Therapy Assistant | 1114 E Main St, Melbourne, AR 72556 | 2007-05-23 |
| Street Address |
1605 N HARRISON ST |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74804-4022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891762951 | Brian Ernest Drew | Dentist | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2006-03-07 |
| 1932729092 | Andra Elizabeth Tipton | Counselor | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2020-04-19 |
| 1902464308 | Brittny Rayeann Bradford | Case Manager/Care Coordinator | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2019-05-31 |
| 1427517572 | Shelley L Coffman | Counselor | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2019-03-18 |
| 1992260004 | Juanita Pearl Marshall | Counselor | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2019-02-02 |
| 1124507579 | Amy Adelle Jennings | Counselor | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2018-08-07 |
| 1477060424 | Whitney Rhea Elliott | Case Manager/Care Coordinator | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2017-12-29 |
| 1710402946 | Jennifer Lynn Cheatham | Counselor | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2017-08-09 |
| 1235680984 | Twenty-nine 11, Inc. | Counselor | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2016-10-18 |
| 1184085367 | Twenty-nine 11 Inc | Counselor | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2016-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063699 | Isaac Benjamin Gray | Student in an Organized Health Care Education/Training Program | 4010 Blaine Road, Shawnee, OK 74804 | 2019-10-06 |
| 1750863775 | Dillon Gibson | Specialist/Technologist | Oklahoma Baptist University, 500 W. University, Shawnee, OK 74804 | 2018-09-06 |
| 1912368242 | Peggy Baker | Occupational Therapist | 7602 N. Kickapoo, Shawnee, OK 74804 | 2016-03-15 |
| 1861731093 | Shariff Mohammed El-assi | Behavioral Analyst | 45 Crown Point, Shawnee, OK 74804 | 2013-02-07 |
| 1902103112 | Action Physical Therapy & Rehabilitation, Pllc | Physical Therapist | 2506 N Harrison, Shawnee, OK 74804 | 2011-02-24 |
| 1639493315 | Oklahoma Em - 1 Medical Services,p.c. | Emergency Medicine | 1102 W.macarthur, Shawnee, OK 74804 | 2010-03-24 |
| 1790989473 | Eastern Oklahoma Radiation Associates, LLC | Radiology | 3700 N Kickapoo Ave Ste 108, Shawnee, OK 74804 | 2007-06-14 |
| 1821210444 | Mickey Sehorn D.d.s., P.C. | Dentist | 1601 Airport Drive, Shawnee, OK 74804 | 2007-05-03 |
| 1760525711 | Leanna Rae Olsen | Registered Nurse | 1500 N. Kickapoo, Suite #4, Shawnee, OK 74804 | 2007-02-15 |
| 1467517920 | Mahmoud Abdel-fattah Khalifa | Pathology | Unity Health Center, 1102 West Macarthur, Shawnee, OK 74804 | 2006-12-26 |
| Find all providers in zip 74804 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205469616 | Fatemeh Mohammadzadeh | Counselor | 6840 Silverheel St, Shawnee, KS 66226-5300 | 2020-02-14 |
| 1740844968 | Advocates for Change Family Services Pllc | Counselor | 610 N Broadway Ave, Shawnee, OK 74801-6202 | 2019-04-23 |
| 1861884074 | Sara Pounds | Counselor | 600 W Independence St # 900, Shawnee, OK 74804-4320 | 2015-02-25 |
| 1336580281 | Sarah Anne Lake | Counselor | 1127 N. Kickapoo St., Shawnee, OK 74801-4845 | 2013-07-08 |
| 1396185468 | Oscar Mckinley | Counselor | 14921 W 71st Ter, Shawnee, KS 66216-4010 | 2013-07-03 |
| 1023361409 | Kristy Ann Morrell | Counselor | 706 Madeline Dr, Shawnee, OK 74801-6564 | 2012-10-22 |
| 1942503008 | Elizabeth R. Nelson | Counselor | 905 E. Wilson St, Shawnee, OK 74804-3263 | 2010-12-13 |
| 1467782680 | Tammy L Rome | Counselor | 14601 W 61st St, Shawnee, KS 66216-3876 | 2010-01-11 |
| 1982847885 | Stacy Renee Henson | Counselor | 1414 N Kennedy Ave Ste 111, Shawnee, OK 74801-4761 | 2009-04-08 |
| 1649416520 | Toppie Lincicome | Counselor | 2252 Gray Dove, Citizen Potawatomi Nation Clinic 2307 S. Gordon Cooper, Shawnee, OK 74804-2359 | 2008-12-26 |
| Find all providers in SHAWNEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.