Active NPI
Karen Goodrich, AGPCNP-BC
- Gerontology Nurse Practitioner
- Chesapeake, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 0024174336
- Practice address
- 1545 Crossways Blvd Ste 250
Chesapeake, VA 23320-0218 - Phone
- (757) 994-1103
- NPI assigned
- Jan 5, 2017
- Last updated
- Jul 24, 2023
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 0024174336 | VA | Primary |
Addresses
Primary practice location
1545 Crossways Blvd Ste 250
Chesapeake, VA 23320-0218
Mailing address
3701 Point Elizabeth Dr
Chesapeake, VA 23321-5754
Phone (757) 373-6291
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024174336 | VA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abode Care Partners Al VB, LLC | Nurse Practitioner | Current | Accepting new patients |
| Signify Health, LLC | Nurse Practitioner | Current | Accepting new patients |
| Mills Medical Practices, LLC | Current | Accepting new patients | |
| Abode Care Partners Al VB, LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438
26110 Emery Rd
Ste 300
Warrensvl Hts, OH 44128
Phone (216) 292-5750
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
230 Charwood Dr
Ste A
Abingdon, VA 24210
Phone (276) 378-8808
1545 Crossways Blvd
Ste 250
Chesapeake, VA 23320
Phone (757) 206-2772
1005 Hampton Blvd
Norfolk, VA 23507
Phone (757) 623-5602
6330 N Center Dr
Ste 100
Norfolk, VA 23502
Phone (757) 994-1103
1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823
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.
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dba Virginia Home Based Primary Care
- Primary Care Clinic/Center
- Abingdon, VA
- NPI 1841920287
-
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- Texarkana, TX
- NPI 1528871126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690156800000",
"number": "1386189918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 POINT ELIZABETH DR",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233215754",
"telephone_number": "757-373-6291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 CROSSWAYS BLVD STE 250",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233200218",
"telephone_number": "757-994-1103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODRICH",
"first_name": "KAREN",
"credential": "AGPCNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-05",
"last_updated": "2023-07-24",
"certification_date": "2023-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "VA",
"license": "0024174336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.