Kamimsa Josephine Goudy, SUDPT is a
Case Manager/care Coordinator based in Yakima, Washington. Kamimsa Josephine Goudy is licensed to practice in Washington (license number ) and her current practice location is
402 S 4th Ave, Yakima, Washington. She can be reached at her office (for appointments etc.) via phone at
(509) 575-4084.
NPI number for Kamimsa Josephine Goudy is 1538843818 and her current mailing address is 1221 Queen Ave, Yakima, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538843818.
Healthcare Provider's Profile
| Full Name | Kamimsa Josephine Goudy |
|---|
| Gender | Female |
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| Speciality | Case Manager/care Coordinator |
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| Location | 402 S 4th Ave, Yakima, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1538843818
- Provider Enumeration Date: 06/15/2023
- Last Update Date: 08/14/2024
Medical Identifiers
Medical identifiers for Kamimsa Josephine Goudy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538843818 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CO61438615 (Washington) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kamimsa Josephine Goudy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kamimsa Josephine Goudy, SUDPT
1221 Queen Ave,
Yakima, WA 98902-5418
Ph: (509) 910-2848 | Kamimsa Josephine Goudy, SUDPT
402 S 4th Ave,
Yakima, WA 98902-3546
Ph: (509) 575-4084 |
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