Individual provider Active NPI

Shirley Ann Goode, M.S.N.

  • Women's Health Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1063742419
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
057192 Issued in MO
Practice address
5844 NW Barry Rd
Ste 310
Kansas City, MO 64154-1465
Phone
(816) 741-9122
Fax
(816) 741-9665
NPI assigned
Jan 7, 2010
Last updated
Feb 9, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 057192 MO Primary

Addresses

Primary practice location

5844 NW Barry Rd
Ste 310
Kansas City, MO 64154-1465

Mailing address

5844 NW Barry Rd
Ste 310
Kansas City, MO 64154-1465
Phone (816) 741-9122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
057192MOMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265673600000",
    "number": "1063742419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5844 NW BARRY RD",
            "address_2": "STE 310",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641541465",
            "telephone_number": "816-741-9122",
            "fax_number": "816-741-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5844 NW BARRY RD",
            "address_2": "STE 310",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641541465",
            "telephone_number": "816-741-9122",
            "fax_number": "816-741-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODE",
        "first_name": "SHIRLEY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "M.S.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-07",
        "last_updated": "2010-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MO",
            "license": "057192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.