KEELEE GOODE (NPI# 1871907865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871907865 |
Entity Type | Individual |
Full Name | KEELEE GOODE |
Credential | MT |
Practice Address |
1027 Jane Dr Culloden WV 25510-9512 |
Practice Telephone | 3045466804 |
Mailing Telephone | 3045466804 |
Enumeration Date | 2014-06-17 |
Last Update Date | 2014-06-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 2005-1660 | WV | Other Service Providers |
Street Address |
1027 JANE DR |
City | CULLODEN |
State | WV |
Zip Code | 25510-9512 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104117761 | Diversicare Rose Terrace, LLC | Skilled Nursing Facility | 30 Hidden Brook Way, Culloden, WV 25510 | 2011-04-29 |
1831475227 | Bobbie Jane Taylor | Nurse Practitioner | 16 James Cir, Culloden, WV 25510-9049 | 2011-10-29 |
1912517434 | John Paul Lombardi | Technician | 16 James Cir, Culloden, WV 25510-9049 | 2020-08-10 |
1194375576 | Rebecca Lynn Derossett | Nurse Practitioner | 30 Hidden Brook Way, Culloden, WV 25510-9190 | 2019-09-17 |
1487178331 | Lifetree Medical Services, LLC | Nurse Practitioner | 30 Hidden Brook Way, Culloden, WV 25510-9190 | 2017-08-02 |
1255945168 | Michael Joseph West | Technician | 1025 Holley Brook Dr, Culloden, WV 25510-9359 | 2020-09-08 |
1174075659 | Maggie Collins | Specialist/Technologist | 1017 Holley Brook Dr, Culloden, WV 25510-9359 | 2016-10-31 |
1720569601 | Amber Foreman | Case Manager/Care Coordinator | 2188 Dudding Ln, Culloden, WV 25510-9556 | 2018-08-28 |
1427660430 | Chelsea Renea Call | Technician | 139 E 1st St, Culloden, WV 25510-9689 | 2020-08-20 |
1043821150 | Johnifer Sue Chapman-glagg | Technician | 2071 Main St, Culloden, WV 25510-9747 | 2020-08-12 |
Find all providers in zip 25510 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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1770023244 | Katelynn Decker | Specialist | 428 W Martin St, Martinsburg, WV 25401-2747 | 2017-03-03 |
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1558818294 | Keri Browning | Specialist | 294 Shawnee Cir, Monaville, WV 25601-9631 | 2016-09-09 |
1356715429 | Body Kneads LLC | Specialist | 19 Main Ave, Logan, WV 25601-3332 | 2015-11-30 |
1982071866 | Archer Massage and Wellness | Specialist | 6 Harman Ctr, Grafton, WV 26354-1559 | 2015-08-27 |
1003299652 | Wmc Physician Practices LLC | Specialist | 651 Colliers Way Ste 300, Weirton, WV 26062-5058 | 2015-07-01 |
1710360367 | Wmc Physician Practices LLC | Specialist | 651 Colliers Way Ste 309, Weirton, WV 26062-5055 | 2015-07-01 |
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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.