Active NPI
Cheryl Louise Goforth, APRN, BC
- Family Nurse Practitioner
- Oak Ridge, TN
National Provider Identifier
1477653970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN0000005366
- Practice address
- 200 New York Ave
Ste 160
Oak Ridge, TN 37830-5212 - Phone
- (865) 835-5138
- Fax
- (865) 835-5139
- NPI assigned
- Sep 24, 2006
- Last updated
- Apr 29, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN0000005366 | TN | Primary |
Addresses
Primary practice location
200 New York Ave
Ste 160
Oak Ridge, TN 37830-5212
Mailing address
200 New York Ave
Ste 160
Oak Ridge, TN 37830-5212
Phone (865) 835-5138
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1522208 | Medicaid | TN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000005366 | TN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619654400000",
"number": "1477653970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 NEW YORK AVE",
"address_2": "STE 160",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378305212",
"telephone_number": "865-835-5138",
"fax_number": "865-835-5139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 NEW YORK AVE",
"address_2": "STE 160",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378305212",
"telephone_number": "865-835-5138",
"fax_number": "865-835-5139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOFORTH",
"first_name": "CHERYL",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "APRN, BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-24",
"last_updated": "2021-04-29",
"certification_date": "2021-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN0000005366",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1522208",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Ridge, TN
- Jefferson Pierce Gillum, DO
- Jacob Gingerich, DO
- Girling Health Care Services of Knoxville, Inc. (Gentiva III)
- Giving Home Health Care-Tennessee, LLC (Giving Home Health Care)
- Gail Elizabeth Gnade, PH.D
- Roger Neil Goggans, NP
- Ami Michelle Goins, FNP
- Traci A. Golbach, PHD
- Beronica Renee Goodman
- Patricia Holly Gordon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.