Terria Shavon Goodloe, LVN
Licensed Vocational Nurse in Kerrville, TX. Individual provider (NPI-1).
NPI number1528297330
StatusActive
Last updated in NPPESJul 14, 2009
Details
- NPI
- 1528297330
- Entity type
- Individual (NPI-1)
- Name
- Terria Shavon Goodloe
- Credential
- LVN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 14, 2009
- Last updated
- Jul 14, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 211981 | TX | Yes |
Practice location
819 Water StSuite 300
Kerrville, TX 78028-5333
Phone 830-258-5430 · Fax 830-792-5771
Mailing address
819 Water StSuite 300
Kerrville, TX 78028-5333
Phone 830-258-5430 · Fax 830-792-5771
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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