Individual provider Active NPI

Vallaree Goodwin, FNP-BC

  • Family Nurse Practitioner
  • Hermitage, TN
National Provider Identifier
1326316340
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
16142 Issued in TN
Practice address
4442B Lebanon Pike
Hermitage, TN 37076-1312
Phone
(615) 455-5627
Fax
(877) 721-8404
NPI assigned
Dec 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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 16142 TN Primary

Addresses

Primary practice location

4442B Lebanon Pike
Hermitage, TN 37076-1312

Mailing address

4442B Lebanon Pike
Hermitage, TN 37076-1312
Phone (615) 455-5627

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vallaree.goodwin.1@29601.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20130807000940 TN Practitioner - Nurse Practitioner 5193967933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centerwell Senior Primary Care TN PCGroup PAC ID 6709261712, 39 clinicians

Practice addresses (Care Compare)

4442 B Lebanon Pike
Hermitage, TN 37076-1312
Phone (615) 852-5668

Hospital & facility affiliations

  • Tristar Summit Medical Center Hospital, Hermitage, TN, CCN 440150

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16142TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care TN PC CurrentSince Jun 5, 2023 Accepting new patients
Centerwell Senior Primary Care TN PC Current Accepting new patients
Centerwell Senior Primary Care TN PC CurrentSince Jun 5, 2023 Accepting new patients
Carehere LLC Past Accepting new patients
Centerwell Senior Primary Care TN PC Past Accepting new patients

Locations

4442B Lebanon Pike
Hermitage, TN 37076
Phone (615) 455-5627

4901 Nolensville Rd
Nashville, TN 37211
Phone (615) 760-5022

Interoperability endpoints

  • Direct secure messaging: vallaree.goodwin.1@29601.direct.athenahealth.com

Organizations & group practices 5

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.

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": "1323043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1326316340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4442B LEBANON PIKE",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761312",
            "telephone_number": "615-455-5627",
            "fax_number": "877-721-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4442B LEBANON PIKE",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761312",
            "telephone_number": "615-455-5627",
            "fax_number": "877-721-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "VALLAREE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-05",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "16142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vallaree.goodwin.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4442B Lebanon Pike",
            "city": "Hermitage",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370761312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

Verify at the official NPI Registry.