Individual provider Active NPI

Demara Andrea Goodrich, APRN

  • Family Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1023394442
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3007091 Issued in KY
Practice address
720 2ND Ave Ste 307
Bowling Green, KY 42101-1718
Phone
(270) 780-2760
Fax
(270) 781-2761
NPI assigned
Oct 31, 2011
Last updated
Apr 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3007091 KY Primary

Addresses

Primary practice location

720 2ND Ave Ste 307
Bowling Green, KY 42101-1718

Mailing address

720 2ND Ave Ste 307
Bowling Green, KY 42101-1718
Phone (270) 780-2760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20120524000311 KY Practitioner - Nurse Practitioner 7214190511 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Abode Care Partners LTC VB LLCGroup PAC ID 8325316516, 81 clinicians
SHC Medical Partners of Kentucky, LLCGroup PAC ID 1153406301, 45 clinicians

Practice addresses (Care Compare)

2529 Six Mile LN
Louisville, KY 40220-2934
Phone (502) 491-5560

291 New Towne Dr
Bowling Green, KY 42103-7996
Phone (270) 796-3500

550 High St
Bowling Green, KY 42101-1746
Phone (270) 843-3296

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3007091KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SHC Medical Partners of Kentucky, LLC CurrentSince Apr 22, 2024 Accepting new patients
Commonwealth Health Corporation, Inc Current Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince May 11, 2024 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Jun 1, 2024 Accepting new patients
Commonwealth Health Corporation, Inc. Family CurrentSince Sep 1, 2021 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Jun 1, 2024 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince May 11, 2024 Accepting new patients
Commonwealth Health Corp, Inc. Family Past Accepting new patients
Park Street Partners, L.L.P. Past Accepting new patients
Southern Kentucky Heart Institute,PSC PastSince Apr 1, 2021 Accepting new patients

Locations

250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000

550 High St
Bowling Green, KY 42101
Phone (270) 796-3669

12201 Bluegrass Pkwy
Louisville, KY 40299
Phone (502) 568-7364

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

2529 Six Mile Ln
Louisville, KY 40220
Phone (502) 491-5560

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

Organizations & group practices 10

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1023394442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 2ND AVE STE 307",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011718",
            "telephone_number": "270-780-2760",
            "fax_number": "270-780-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 2ND AVE STE 307",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011718",
            "telephone_number": "270-780-2760",
            "fax_number": "270-781-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODRICH",
        "first_name": "DEMARA",
        "middle_name": "ANDREA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-31",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.