Miss Hitashia Nichole Goodmon, MS, BS, EIS is a
Home Health based in Texarkana, Texas. Miss Hitashia Nichole Goodmon is licensed to practice in * (Not Available) (license number ) and her current practice location is
3427 New Boston Rd, Texarkana, Texas. She can be reached at her office (for appointments etc.) via phone at
(414) 610-1426.
NPI number for Miss Hitashia Nichole Goodmon is 1396374435 and her current mailing address is 1610 Rosewood Street, Texarkana, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396374435.
Healthcare Provider's Profile
Full Name | Miss Hitashia Nichole Goodmon |
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Gender | Female |
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Speciality | Home Health |
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Location | 3427 New Boston Rd, Texarkana, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1396374435
- Provider Enumeration Date: 04/01/2020
- Last Update Date: 10/08/2021
Medical Identifiers
Medical identifiers for Miss Hitashia Nichole Goodmon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396374435 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (Texas) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
251E00000X | Home Health | (* (Not Available)) | 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. Miss Hitashia Nichole Goodmon 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 |
Miss Hitashia Nichole Goodmon, MS, BS, EIS 1610 Rosewood Street, Texarkana, TX 75501 Ph: (414) 610-1426 | Miss Hitashia Nichole Goodmon, MS, BS, EIS 3427 New Boston Rd, Texarkana, TX 75501-3137 Ph: (414) 610-1426 |
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