Individual provider Active NPI

Shaina Goode

  • Occupational Therapist
  • Versailles, KY
National Provider Identifier
1427878024
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
263035
Practice address
1001 Crossfield Dr
Versailles, KY 40383-1599
Phone
(844) 502-7996
NPI assigned
Oct 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 263035 Primary

Addresses

Primary practice location

1001 Crossfield Dr
Versailles, KY 40383-1599

Mailing address

807 S Central Ave
Nicholasville, KY 40356-1623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241105003917 KY Practitioner - Occupational Therapist in Private Practice 6305370966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Rehabilitation Kentucky, LLCGroup PAC ID 1850729211, 108 clinicians

Practice addresses (Care Compare)

1165 Monarch St
Lexington, KY 40513-1979
Phone (844) 502-7996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Kentucky, LLC Occupational Therapist CurrentSince Oct 18, 2024 Accepting new patients
Empowerme Rehabilitation Kentucky, LLC CurrentSince Oct 18, 2024 Accepting new patients

Locations

101 Isaac Greer Ct
Bardstown, KY 40004
Phone (502) 348-6214

100 Garden Way
Campbellsville, KY 42718
Phone (270) 789-1200

100 Windsor Path
Georgetown, KY 40324
Phone (502) 570-0540

115 Ashton Grove Path
Georgetown, KY 40324
Phone (502) 453-8605

3310 Tates Creek Rd
Lexington, KY 40502
Phone (859) 203-7899

700 Mason Headley Rd
Lexington, KY 40504
Phone (859) 259-3486

6830 Overlook Dr
Louisville, KY 40241
Phone (502) 262-7929

6000 Hunting Rd
Louisville, KY 40222
Phone (502) 426-1425

8401 La Grange Rd
Lyndon, KY 40222
Phone (502) 234-5977

84 Utterback Rd
Murray, KY 42071
Phone (270) 759-8700

1600 Nicholasville Byp
Nicholasville, KY 40356
Phone (859) 216-6614

1900 Pleasant Valley Rd
Owensboro, KY 42303

1001 Crossfield Dr
Versailles, KY 40383
Phone (859) 753-2000

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

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": "1729036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1427878024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 S CENTRAL AVE",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403561623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CROSSFIELD DR",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831599",
            "telephone_number": "844-502-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODE",
        "first_name": "SHAINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": "263035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Versailles, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.