Provider Demographics
NPI:1932083755
Name:GOODSON, LEVONDA KATRELL (LPN)
Entity type:Individual
Prefix:MS
First Name:LEVONDA
Middle Name:KATRELL
Last Name:GOODSON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5967 SE 140TH PL
Mailing Address - Street 2:
Mailing Address - City:SUMMERFIELD
Mailing Address - State:FL
Mailing Address - Zip Code:34491-7794
Mailing Address - Country:US
Mailing Address - Phone:352-454-1373
Mailing Address - Fax:
Practice Address - Street 1:819 NW 7TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34475-6136
Practice Address - Country:US
Practice Address - Phone:352-421-5896
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5177776164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse