Active NPI
Maggie Denton Goode
- Pediatric Nurse Practitioner
- Paducah, KY
National Provider Identifier
1043937931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 3018744
- Practice address
- 225 Medical Center Dr Ste 201
Paducah, KY 42003-7907 - Phone
- (270) 444-4250
- NPI assigned
- Oct 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 3018744 | KY | Primary |
Addresses
Primary practice location
225 Medical Center Dr Ste 201
Paducah, KY 42003-7907
Mailing address
225 Medical Center Dr Ste 201
Paducah, KY 42003-7907
Phone (270) 444-4250
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients |
Locations
548 Lone Oak Rd
Paducah, KY 42003
Phone (270) 415-4645
2605 Kentucky Ave
Ste 502
Paducah, KY 42003
Phone (270) 415-7015
2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Paducah, KY
- NPI 1922401611
-
- Internal Medicine Physician
- Elizabethtown, KY
- NPI 1093338527
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670457600000",
"number": "1043937931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 MEDICAL CENTER DR STE 201",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420037907",
"telephone_number": "270-444-4250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 MEDICAL CENTER DR STE 201",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420037907",
"telephone_number": "270-444-4250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODE",
"first_name": "MAGGIE",
"middle_name": "DENTON",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-21",
"last_updated": "2022-12-08",
"certification_date": "2022-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "KY",
"license": "3018744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.