Active NPI
Chelsea Renee Goode
- Family Nurse Practitioner
- Allentown, PA
National Provider Identifier
1548083181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP026177
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| SP026177 | PA | MD | Family Nurse Practitioner |
| SP031431 | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blackbird Clinical Services PC | Current | Accepting new patients | |
| Children'S Integrated Center for Success | Family | Past | 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
- 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.
-
- Child & Adolescent Psychiatry Physician
- Allentown, PA
- NPI 1598524563
-
- Family Nurse Practitioner
- Allentown, PA
- NPI 1447670708
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.