Active NPI
Shandra Dawn Goersch, MSN, RN
- Registered Nurse
- Edwardsville, IL
National Provider Identifier
1306641808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041354859
- Practice address
- 6 Hairpin Dr
Edwardsville, IL 62026-1000 - Phone
- (618) 650-3956
- NPI assigned
- Feb 18, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041354859 | IL | Primary |
Addresses
Primary practice location
6 Hairpin Dr
Edwardsville, IL 62026-1000
Mailing address
331 W Monroe St
Hecker, IL 62248-1118
Phone (618) 978-3973
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, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041354859 | IL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739836800000",
"number": "1306641808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 W MONROE ST",
"city": "HECKER",
"state": "IL",
"postal_code": "622481118",
"telephone_number": "618-978-3973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 HAIRPIN DR",
"city": "EDWARDSVILLE",
"state": "IL",
"postal_code": "620261000",
"telephone_number": "618-650-3956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOERSCH",
"first_name": "SHANDRA",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "MSN, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-18",
"last_updated": "2025-02-18",
"certification_date": "2025-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041354859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edwardsville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.