TERA GOODMAN (NPI# 1215348552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215348552 |
| Entity Type | Individual |
| Full Name | TERA GOODMAN |
| Practice Address |
15 Barber Dr Hardy AR 72542-9109 |
| Practice Telephone | 8709943103 |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2014-05-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Street Address |
15 BARBER DR |
| City | HARDY |
| State | AR |
| Zip Code | 72542-9109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154978351 | Together: Individual and Family Focused Counseling, Pllc | Counselor | 3342 Highway 42 412, Hardy, AR 72542 | 2019-08-22 |
| 1952797979 | April Stacey | Day Training/Habilitation Specialist | 2012 Highway 62/412, Highland, AR 72542 | 2015-04-07 |
| 1760891519 | Chasity Johnson | Specialist/Technologist | 300 Boothe Rd, Hardy, AR 72542 | 2014-08-06 |
| 1346427093 | Benjamin Lee Cravens | Counselor | 2423 W Hwy 62/412, Hardy, AR 72542 | 2008-01-24 |
| 1689853665 | Glden Care Adult Day Health Care Inc. | Respite Care | 1508 B Hwy 62/412, Hardy, AR 72542 | 2007-10-26 |
| 1942404975 | Goldencare Adhc, Inc | Clinic/Center | 1508 B Hwy 62 412, Highland, AR 72542 | 2007-06-13 |
| 1710003769 | Karen Ann Schadler | Durable Medical Equipment & Medical Supplies | 3115 Hwy 62-412, Hardy, AR 72542 | 2007-03-21 |
| 1902956246 | Andrea Davis | Pharmacist | Hwy 62 412, Midway Plaza, Hardy, AR 72542 | 2007-01-11 |
| 1720138068 | Clifford Marsh Davis | Pharmacist | Hwy 62-412, Midway Plaza, Hardy, AR 72542 | 2007-01-11 |
| 1316026891 | Dan T Speir Od Pa | Optometrist | 1238 Hwy 62 412, Ste B, Hardy, AR 72542 | 2006-11-03 |
| Find all providers in zip 72542 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962029694 | Developmental Milestones Adult Day Center | Clinic/Center | 700 N Missouri St, West Memphis, AR 72301-3150 | 2020-06-29 |
| 1891334835 | Abilities Pediatric Pllc | Clinic/Center | 908 Shorecrest Ave, Harrison, AR 72601-1953 | 2019-12-21 |
| 1912494527 | Equestrian Zone | Clinic/Center | 4800 S Frankfort Ave, Russellville, AR 72802-0823 | 2018-04-18 |
| 1174024715 | Lacretia Bruce | Clinic/Center | 12 Fox Run Dr, Little Rock, AR 72210-7133 | 2018-02-27 |
| 1790124659 | Kidscorp of Fayetteville, Inc | Clinic/Center | 2210 Main Dr, Springdale, AR 72762-6802 | 2013-06-24 |
| 1710322094 | First Step Arkansas, LLC | Clinic/Center | 6263 Highway 49 South, Paragould, AR 72450 | 2013-05-01 |
| 1043536063 | Cb King Uam Campus | Clinic/Center | 1711 East Ash Street, Mcgehee, AR 71654 | 2010-04-15 |
| 1508037870 | Kids for The Future Rogers, Inc. | Clinic/Center | 3307 N Dixieland Rd, Rogers, AR 72756-6816 | 2008-03-14 |
| 1306979265 | From The Beginning Chms Clinic | Clinic/Center | 120 Nix Ridge Rd, Ash Flat, AR 72513-9017 | 2007-03-13 |
| 1851458301 | Boone County Independent Living, Inc. | Clinic/Center | 206 S Cherry St Ste D, Harrison, AR 72601-5044 | 2007-01-03 |
| Find all providers with the same taxonomy | ||||
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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.