Individual provider Active NPI

Christine Marie Pettit Goodridge, NURSE PRACTITIONER

  • Acute Care Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1497402358
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
256666 Issued in AZ
Practice address
955 Markley Woods Way
Cincinnati, OH 45230-4377
Phone
(513) 967-8545
NPI assigned
Mar 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 256666 AZ Primary

Addresses

Primary practice location

955 Markley Woods Way
Cincinnati, OH 45230-4377

Mailing address

955 Markley Woods Way
Cincinnati, OH 45230-4377
Phone (513) 967-8545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220506000550 AZ Practitioner - Nurse Practitioner 8426435744
I20250321001998 OH Practitioner - Nurse Practitioner 8426435744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christ Hospital Medical Specialists LLCGroup PAC ID 6507998432, 127 clinicians

Practice addresses (Care Compare)

2123 Auburn Ave
Suite 108
Cincinnati, OH 45219-2906
Phone (513) 721-7373

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.34 of 100Reported as apm
Quality
74.56
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Hospital Medical Specialists LLC CurrentSince Mar 1, 2025 Accepting new patients
Christ Hospital Medical Specialists II, LLC Acute Care Past Accepting new patients

Locations

2139 Auburn Ave
#49
Cincinnati, OH 45219

11150 Montgomery Rd
Ste 1000
Cincinnati, OH 45249
Phone (513) 564-5000

2123 Auburn Ave
Ste 108
Cincinnati, OH 45219
Phone (513) 721-7373

2123 Auburn Ave
Ste 122
Cincinnati, OH 45219
Phone (513) 381-1400

11150 Montgomery Rd
Bldg D
Cincinnati, OH 45249

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.

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": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1497402358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 MARKLEY WOODS WAY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452304377",
            "telephone_number": "513-967-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 MARKLEY WOODS WAY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452304377",
            "telephone_number": "513-967-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODRIDGE",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE PETTIT",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "256666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.