NPIMap

Individual provider Active NPI

Teresa Marie Goodson, FNP-C

  • Nurse Practitioner
  • Charleston, WV
National Provider Identifier
1235895970
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
110038 Issued in WV
Practice address
3100 Maccorkle Ave SE Ste 810
Charleston, WV 25304-1233
Phone
(304) 720-7305
NPI assigned
Nov 16, 2021
Last updated
Aug 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 110038 WV Primary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 110038 WV
Registered Nurse 163W00000X 53154 WV

Addresses

Primary practice location

3100 Maccorkle Ave SE Ste 810
Charleston, WV 25304-1233

Mailing address

501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-5432

Other practice location 1

501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-5432

Other practice location 2

337 12th St
Dunbar, WV 25064-3034
Phone (681) 339-0826

Other names 1

  • Teresa Marie Cox Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220425001117 WV Practitioner - Nurse Practitioner 7315334257 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1212 Garfield Ave
Suite 202
Parkersburg, WV 26101-3247
Phone (304) 865-3600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53154WVMDRegistered Nurse
110038WVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center, Inc. CurrentSince Mar 1, 2022 Accepting new patients
Recover Together, LLC Nurse Practitioner CurrentSince Sep 1, 2023 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Mar 1, 2022 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients

Locations

111 S Bedford St
Ste 205
Burlington, MA 01803
Phone (512) 439-3547

3100 Maccorkle Ave SE
Ste 810
Charleston, WV 25304
Phone (304) 351-3961

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

1212 Garfield Ave
Ste 202
Parkersburg, WV 26101
Phone (304) 865-3640

1212 Garfield Ave
Ste 300
Parkersburg, WV 26101
Phone (304) 424-4130

4421 Emerson Ave
Ste 205
Parkersburg, WV 26104
Phone (304) 693-6096

Interoperability endpoints

  • Direct secure messaging: teresa.goodson.1@29596.direct.athenahealth.com

Organizations & group practices 4

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1235895970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MORRIS ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011326",
            "telephone_number": "304-388-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 MACCORKLE AVE SE STE 810",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041233",
            "telephone_number": "304-720-7305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Morris St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011326",
            "country_code": "US",
            "telephone_number": "304-388-5432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "337 12th St",
            "address_purpose": "LOCATION",
            "city": "Dunbar",
            "state": "WV",
            "postal_code": "250643034",
            "country_code": "US",
            "telephone_number": "681-339-0826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODSON",
        "first_name": "TERESA",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "110038",
            "primary": true
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "WV",
            "license": "110038",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WV",
            "license": "53154",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "COX",
            "middle_name": "MARIE",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.