Individual provider Active NPI

Margaret Elizabeth Goossen, FNP-C

  • Family Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1154086320
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-80621-052 Issued in KS
Practice address
10550 Quivira Rd Ste 520
Overland Park, KS 66215-2307
Phone
(913) 310-0482
NPI assigned
Nov 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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 53-80621-052 KS Primary

Addresses

Primary practice location

10550 Quivira Rd Ste 520
Overland Park, KS 66215-2307

Mailing address

10550 Quivira Rd Ste 520
Overland Park, KS 66215-2307
Phone (913) 310-0482

Other names 1

  • Margaret Elizabeth Butaud Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20211115001765 KS Practitioner - Nurse Practitioner 6800285776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-80621-052KSMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1154086320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10550 QUIVIRA RD STE 520",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152307",
            "telephone_number": "913-310-0482",
            "fax_number": "913-894-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10550 QUIVIRA RD STE 520",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152307",
            "telephone_number": "913-310-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOSSEN",
        "first_name": "MARGARET",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-80621-052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "BUTAUD",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.