Kelly L Goodrich, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

150754-030 Issued in WI

Practice address

660 S Main St
Oregon, WI 53575-3647

Phone

(608) 333-9160

NPI assigned

Apr 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1508988171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6016 DELL DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537188200",
            "telephone_number": "608-333-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S MAIN ST",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535753647",
            "telephone_number": "608-333-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODRICH",
        "first_name": "KELLY",
        "middle_name": "L",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "150754-030",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "150754-030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38337300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherry Gahagan
• Theresa Gardocki, DENTIS
• Sonya Socorro Garza
• David Alfred Gebhardt, SAC
• Cheryl Jo Ginther, P.T.
• Joshua D Graber, DDS
• Graves Enterprises Inc D/B/a Oregon Manor
• Tyler J Grunow, MD
• Kari Sweeney Hahn, PT
• Hamm Chiropractic S.C.

• Registered Nurse in Oregon, WI
• Providers in Oregon, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.