SUSAN TAYLOR-GOLLEY (NPI# 1902292212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902292212 |
| Entity Type | Individual |
| Full Name | SUSAN TAYLOR-GOLLEY |
| Credential | COTA/L |
| Practice Address |
1104 N Main St Bushnell FL 33513-5045 |
| Practice Telephone | 3525688777 |
| Mailing Telephone | 3525688777 |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2015-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | OTA9699 | FL | Other Service Providers |
| Street Address |
1104 N MAIN ST |
| City | BUSHNELL |
| State | FL |
| Zip Code | 33513-5045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831687862 | Sheri F Morgan | Physical Therapy Assistant | 1104 N Main St, Bushnell, FL 33513-5045 | 2018-04-25 |
| 1295239044 | Janel Sanders | Occupational Therapy Assistant | 1104 N Main St, Bushnell, FL 33513-5045 | 2018-03-19 |
| 1336502129 | Steven Sadecky | Occupational Therapy Assistant | 1104 N Main St, Bushnell, FL 33513-5045 | 2016-03-30 |
| 1750755575 | Cary Mattos | Physical Therapy Assistant | 1104 N Main St, Bushnell, FL 33513-5045 | 2015-11-17 |
| 1164896973 | Denise Zachary | Physical Therapy Assistant | 1104 N Main St, Bushnell, FL 33513-5045 | 2015-11-17 |
| 1760856587 | Lori Sadecky | Occupational Therapist | 1104 N Main St, Bushnell, FL 33513-5045 | 2015-11-17 |
| 1447624283 | Dixie Palesch | Occupational Therapy Assistant | 1104 N Main St, Bushnell, FL 33513-5045 | 2015-11-17 |
| 1841536984 | Osprey Nursing and Rehabilitation, LLC | Skilled Nursing Facility | 1104 N Main St, Bushnell, FL 33513-5045 | 2012-12-18 |
| 1740337526 | Osprey of North Florida Inc | Skilled Nursing Facility | 1104 N Main St, Bushnell, FL 33513-5045 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619465481 | Crystal Wallace Goddin | Physical Therapy Assistant | 1104 N Main St, Bushnell, Fl, Bushnell, FL 33513 | 2018-04-27 |
| 1255836920 | Anton Dawson | Behavior Technician | 2310 Cr 615, Bushnell, FL 33513 | 2018-03-26 |
| 1942728431 | Carolyn Sue Guarino | Licensed Practical Nurse | 10306 S.w. 53rd Terr., Bushnell, FL 33513 | 2017-09-05 |
| 1326321258 | Edith Marie Evans | Case Manager/Care Coordinator | 2891 C.r. 615b, Bushnell, FL 33513 | 2011-09-27 |
| 1144478439 | Emma J Ridley | Pharmacist | Sumter Oaks Park, 4602 Couny Rd. 673, #14107, Bushnell, FL 33513 | 2008-08-29 |
| 1205083268 | Diana K Mullin | Day Training, Developmentally Disabled Services | 9325 Cr 622 G, Bushnell, FL 33513 | 2008-08-21 |
| 1467625202 | Amy's Caring Hands | Day Training, Developmentally Disabled Services | 1612 W County Road 476, Bushnell, FL 33513 | 2008-04-11 |
| 1821212952 | Stuart J Kaufman Md & Assoc Pa | Ophthalmology | 1814 West Cr 48, Bushnell, FL 33513 | 2007-04-12 |
| 1740201128 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 1122 N Main St, Bushnell, FL 33513 | 2006-07-21 |
| 1184688947 | Florida Department of Health | Public Health or Welfare | 415 E Noble Ave, Bushnell, FL 33513 | 2006-04-17 |
| Find all providers in zip 33513 | ||||
| Taxonomy Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606813 | Assyrian Lane Thomas | Community Health Worker | 3415 30th Ln E, Bradenton, FL 34208-7248 | 2020-10-13 |
| 1922614692 | Michole Kiana Nelson | Community Health Worker | 2041 Payne Ave, Jacksonville, FL 32209-5636 | 2020-09-18 |
| 1558976639 | Brenda K Stephens | Community Health Worker | 144 Carver Ave, Havana, FL 32333-6318 | 2020-09-15 |
| 1619580669 | Lifeline Community Support, LLC | Community Health Worker | 927 Nw 97th Ave Apt 207, Miami, FL 33172-2380 | 2020-08-28 |
| 1669083192 | Basca Inc | Community Health Worker | 352 Stowe Ave, Orange Park, FL 32073-5547 | 2020-08-10 |
| 1982228250 | Gabrielle Benoit | Community Health Worker | 510 Beverly Blvd, Brandon, FL 33511-5510 | 2020-06-03 |
| 1316576192 | Angoria Consulting Management | Community Health Worker | 1382 Sequoia Rd Nw, Palm Bay, FL 32907-2780 | 2020-04-03 |
| 1174158349 | Arcliffe Elaine Stephenson | Community Health Worker | 5336 Jubilee Way, Margate, FL 33063-8205 | 2020-03-09 |
| 1639711096 | Margarette Jean Laurent | Community Health Worker | 261 Sw Fairchild Ave, Port St Lucie, FL 34984-4908 | 2019-10-16 |
| 1609337260 | Patricia Ann Brown | Community Health Worker | 797 Teague Trl Apt 8205, Lady Lake, FL 32159-3117 | 2019-03-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SUSAN TAYLOR-GOLLEY.
| 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.