Active NPI
Kelsey Elizabeth Good, DNP
- Nurse Practitioner
- Barre, VT
National Provider Identifier
1114604469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 101-0136455
- Practice address
- 246 Granger Rd Ste 1
Barre, VT 05641-5352 - Phone
- (802) 371-5950
- NPI assigned
- Jun 29, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 202325774 | OR | |
| Nurse Practitioner | 363L00000X | 101-0136455 | VT | Primary |
Addresses
Primary practice location
246 Granger Rd Ste 1
Barre, VT 05641-5352
Mailing address
719 SE Franklin St
Portland, OR 97202-2615
Phone (703) 851-0925
Other practice location 1
130 Fisher Rd Unit 1
Berlin, VT 05602-8132
Phone (802) 371-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- 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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202325774 | OR | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Vermont Medical Center Inc | Current | Accepting new patients |
Locations
246 Granger Rd
Ste 1
Barre, VT 05641
Phone (802) 371-5950
130 Fisher Rd
Unit 1
Berlin, VT 05602
Phone (802) 225-1743
130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400
Interoperability endpoints
- kgood552077@direct.uvmhealth.org
Organizations & group practices 1
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
- Berlin, VT
- NPI 1023028784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1114604469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 SE FRANKLIN ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972022615",
"telephone_number": "703-851-0925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 GRANGER RD STE 1",
"city": "BARRE",
"state": "VT",
"postal_code": "056415352",
"telephone_number": "802-371-5950"
}
],
"practiceLocations": [
{
"address_1": "130 Fisher Rd Unit 1",
"address_purpose": "LOCATION",
"city": "Berlin",
"state": "VT",
"postal_code": "056028132",
"country_code": "US",
"telephone_number": "802-371-4100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOOD",
"first_name": "KELSEY",
"middle_name": "ELIZABETH",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-29",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OR",
"license": "202325774",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VT",
"license": "101-0136455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Barre, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.