Individual provider Active NPI

Tara Goosey, FNP

  • Nurse Practitioner
  • Archie, MO
National Provider Identifier
1225743271
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2022047365 Issued in MO
Practice address
709 E Pine Street
Archie, MO 64725-0046
Phone
(816) 430-5777
Fax
(816) 430-5219
NPI assigned
Jan 13, 2023
Last updated
Jan 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2022047365 MO Primary

Addresses

Primary practice location

709 E Pine Street
Archie, MO 64725-0046

Mailing address

PO Box 46
Archie, MO 64725-0046
Phone (816) 430-5777

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL tgoosey@cassregional.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20230307002132 MO Practitioner - Nurse Practitioner 1355714619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cass Regional Medical CenterGroup PAC ID 7517853781, 44 clinicians

Practice addresses (Care Compare)

709 E Pine St
Archie Medical Clinic
Archie, MO 64725-9215
Phone (816) 430-5777

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2022047365MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cass Regional Medical Center CurrentSince Mar 1, 2023 Accepting new patients
Cass Regional Medical Center CurrentSince Mar 1, 2023 Accepting new patients
Cass Regional Medical Center Past Accepting new patients

Locations

2800 E Rock Haven Rd
Harrisonville, MO 64701
Phone (816) 380-3474

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, 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": "1673568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1225743271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46",
            "city": "ARCHIE",
            "state": "MO",
            "postal_code": "647250046",
            "telephone_number": "816-430-5777",
            "fax_number": "816-430-5219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 E PINE STREET",
            "city": "ARCHIE",
            "state": "MO",
            "postal_code": "647250046",
            "telephone_number": "816-430-5777",
            "fax_number": "816-430-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOSEY",
        "first_name": "TARA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2022047365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tgoosey@cassregional.org",
            "affiliation": "N",
            "endpointDescription": "CRMC Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "709 E Pine Street",
            "city": "Archie",
            "state": "MO",
            "country_code": "US",
            "postal_code": "647250046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Archie, MO

Sources for this page

Verify at the official NPI Registry.