Individual provider Active NPI

Chelsea Renee Goode

  • Family Nurse Practitioner
  • Allentown, PA
National Provider Identifier
1548083181
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP026177 Issued in PA
Practice address
1247 S Cedar Crest Blvd Ste 107
Allentown, PA 18103-6347
Phone
(484) 202-0751
NPI assigned
Nov 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP031431 PA
Family Nurse Practitioner 363LF0000X SP026177 PA Primary

Addresses

Primary practice location

1247 S Cedar Crest Blvd Ste 107
Allentown, PA 18103-6347

Mailing address

118 Cherokee Dr
Beaver Falls, PA 15010-1672

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SP026177PAMDFamily Nurse Practitioner
SP031431PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blackbird Clinical Services PC CurrentSince Nov 10, 2024 Accepting new patients
Children'S Integrated Center for Success Family PastSince Nov 10, 2024 Accepting new patients

Locations

1247 S Cedar Crest Blvd
Ste 107
Allentown, PA 18103
Phone (484) 202-0751

507 Corporate Dr W
Langhorne, PA 19047
Phone (215) 278-9248

Interoperability endpoints

  • Direct secure messaging: chelsea.goode.1@32853.direct.athenahealth.com

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": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1548083181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 CHEROKEE DR",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 S CEDAR CREST BLVD STE 107",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036347",
            "telephone_number": "484-202-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODE",
        "first_name": "CHELSEA",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP031431",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP026177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.