MRS. TERRY BENNETT GOODRICH (NPI# 1437351574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437351574 |
| Entity Type | Individual |
| Full Name | MRS. TERRY BENNETT GOODRICH |
| Credential | R.N. |
| Practice Address |
207 Jefferson St Mansfield LA 71052-1636 |
| Mailing Address |
248 Vance Rd Benton LA 71006-3456 |
| Practice Telephone | 3188724610 |
| Practice Fax Number | 3188721502 |
| Mailing Telephone | 3189659887 |
| Mailing Fax Number | 3189659887 |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SM0705X |
Clinical Nurse Specialist Specialization: Medical-Surgical |
LA33180 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
207 JEFFERSON ST |
| City | MANSFIELD |
| State | LA |
| Zip Code | 71052-1636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467455154 | Desoto Hospital Association | General Acute Care Hospital | 207 Jefferson St, Mansfield, LA 71052-2603 | 2005-05-27 |
| 1093327041 | Anne Weldon | Dietitian, Registered | 207 Jefferson St, Mansfield, LA 71052-2603 | 2020-08-20 |
| 1679730667 | Desoto Hospital Association | General Acute Care Hospital | 207 Jefferson St, Mansfield, LA 71052-2603 | 2008-05-19 |
| 1275693285 | Denise Y Rote-hintz | Registered Nurse | 207 Jefferson St, Mansfield, LA 71052-2603 | 2006-12-11 |
| 1508926510 | Sean Joseph Hintz | Registered Nurse | 207 Jefferson St, Mansfield, LA 71052-2603 | 2006-12-11 |
| 1669541850 | Desoto Hospital Association | Medicare Defined Swing Bed Unit | 207 Jefferson St, Mansfield, LA 71052-2603 | 2006-11-06 |
| 1578632766 | Desoto Hospital Association | Psychiatric Unit | 207 Jefferson St, Mansfield, LA 71052-2603 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689186421 | Bridgette Williams | Counselor | 419 Washington Street, Mansfield, LA 71052 | 2017-11-02 |
| 1922527217 | Cherlyndria Wyatt | Counselor | 108 Hope St, Mansfield, LA 71052 | 2017-09-18 |
| 1619342433 | Stanley Cunningham | Counselor | 125 Canary Lane, Mansfield, LA 71052 | 2015-12-04 |
| 1578936480 | Comiseia Jones | Counselor | 2102 N Park Ave, Mansfield, LA 71052 | 2015-11-02 |
| 1932571023 | Elichia Bennett | Counselor | 584 Antioch Rd, Mansfield, LA 71052 | 2015-10-28 |
| 1912378597 | Angela Mcintyre | Case Manager/Care Coordinator | 162 Division St, Mansfield, LA 71052 | 2015-10-08 |
| 1144690645 | Edwina Elrod Eley | Nurse Practitioner | 7356 Highway 509, Mansfield, LA 71052 | 2015-09-28 |
| 1760746176 | Amy Melton Robbins | Occupational Therapist | 558 Turner Robbins Rd, Mansfield, LA 71052 | 2012-06-29 |
| 1811209232 | Desoto Healthcare Center Inc. | Internal Medicine | 938 Louise St, Mansfield, LA 71052 | 2010-07-14 |
| 1174786263 | Frances Jackson | Speech-Language Pathologist | 508 Rea Street, Mansfield, LA 71052 | 2008-07-08 |
| Find all providers in zip 71052 | ||||
| Taxonomy Code | 364SM0705X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124354758 | Mary Lee Hanemann | Clinical Nurse Specialist | 1021 Whitetail Dr, Mandeville, LA 70448-1998 | 2009-11-02 |
| 1255525762 | Jana Leigh Stringer | Clinical Nurse Specialist | 312 Grammont St, Suite 404, Monroe, LA 71201-7457 | 2007-08-29 |
| 1902987761 | Olivia Cooper | Clinical Nurse Specialist | 1601 Perdido St, New Orleans, LA 70112-1262 | 2006-10-18 |
| 1235249517 | Joan Patin Normand | Clinical Nurse Specialist | 8080 Bluebonnet Blvd, Suite 1000, Baton Rouge, LA 70810-7827 | 2006-08-30 |
Please comment or provide details below to improve the information on MRS. TERRY BENNETT GOODRICH.
| 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.