Individual provider Active NPI

Elizabeth Goodan, MSN, APRN, AGPCNP-BC

  • Primary Care Nurse Practitioner
  • Covington, KY
National Provider Identifier
1386377489
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
3018025 Issued in KY
Practice address
822 Scott St
Covington, KY 41011-2446
Phone
(502) 550-3218
NPI assigned
Jul 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 3018025 KY
Gerontology Nurse Practitioner 363LG0600X 3018025 KY
Primary Care Nurse Practitioner 363LP2300X 3018025 KY Primary

Addresses

Primary practice location

822 Scott St
Covington, KY 41011-2446

Mailing address

822 Scott St
Covington, KY 41011-2446
Phone (502) 550-3218

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL goodanaprn@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3018025KYMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carebridge Palliative Services Inc. CurrentSince Aug 1, 2022 Accepting new patients
Hospice of Southwest Ohio, Inc. PastSince Aug 1, 2022 Accepting new patients

Locations

7625 Camargo Rd
Ste 200
Cincinnati, OH 45243
Phone (513) 528-8150

7625 Camargo Rd
Cincinnati, OH 45243
Phone (513) 528-8150

100 Berkley Dr
Hamilton, OH 45013
Phone (513) 785-2019

5280 US Highway 62 and 68
Ripley, OH 45167
Phone (937) 392-0457

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1386377489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 SCOTT ST",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410112446",
            "telephone_number": "502-550-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 SCOTT ST",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410112446",
            "telephone_number": "502-550-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODAN",
        "first_name": "ELIZABETH",
        "credential": "MSN, APRN, AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3018025",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KY",
            "license": "3018025",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "3018025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "goodanaprn@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1 Louie B Nunn Dr",
            "city": "Newport",
            "state": "KY",
            "country_code": "US",
            "postal_code": "410999992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Covington, KY

Sources for this page

Verify at the official NPI Registry.