Rachael Goodman

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2019023673 Issued in MO

Practice address

211 NW Executive Way Ste E
Lees Summit, MO 64063-1846

Phone

(816) 434-5205

Fax

(816) 434-5207

NPI assigned

Jul 9, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renova Medical Center LLCGroup PAC ID 3577811736, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Renova Medical Center, LLC

  • General Practice Physician
  • Columbia, MO
  • NPI 1447741681
  Medicare reassignment Care Compare group NPD
• Planned Parenthood Great Plains

  • Women's Health Nurse Practitioner
  • Kansas City, MO
  • NPI 1679614838
  NPD (past)
• Rose Family Chiropractic LLC

  • Chiropractor
  • Columbia, MO
  • NPI 1902109622
  NPD (past)
• Comprehensive Health of Planned Parenthood Great Plains

  • Nurse Practitioner
  • Overland Park, KS
  • NPI 1336282573
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1013569151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 NW EXECUTIVE WAY STE E",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640631846",
            "telephone_number": "816-434-5205",
            "fax_number": "816-434-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 NW EXECUTIVE WAY STE E",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640631846",
            "telephone_number": "816-434-5205",
            "fax_number": "816-434-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "RACHAEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019023673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Gonzalez, RBT
• Good Life Chiropractic LLC
• Erin Good
• Nancy Girgis Goodell, PHARM.D.
• Baylee Marie Gooderl, M.S., LPC
• Goodview Family Care
• Aqualus Mondrell Gordon, PH.D.
• Erica Gordon, LMSW
• Michael Scott Gordon, PHARMD
• Paula E. Gough, CRNA

• Family Nurse Practitioner in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.