Individual provider Active NPI

Priscilla Gooslin, CFNP

  • Nurse Practitioner
  • South Williamson, KY
National Provider Identifier
1568414902
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
42926 Issued in WV
Practice address
306 Hospital Dr # 202D
South Williamson, KY 41503-4095
Phone
(606) 237-1516
Fax
(606) 237-4955
NPI assigned
May 16, 2006
Last updated
Apr 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 42926 WV Primary

Addresses

Primary practice location

306 Hospital Dr # 202D
South Williamson, KY 41503-4095

Mailing address

306 Hospital Dr Ste 202D
South Williamson, KY 41503-4095
Phone (606) 237-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050304000588 KY Practitioner - Nurse Practitioner 4587616677 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42926WVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Regional Healthcare, Inc. Nurse Practitioner CurrentSince Nov 27, 2017 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Nov 27, 2017 Accepting new patients
Appalachian Regional Healthcare, Inc Nurse Practitioner Current Accepting new patients
Dr. Narpat S. Panwar, M.D., Inc. PastSince May 16, 2021 Accepting new patients
Ashland Orthopedic Associates, P.S.C. PastSince May 16, 2021 Accepting new patients
Appalachian Regional Healthcare, Inc. Nurse Practitioner PastSince May 16, 2021 Accepting new patients

Locations

260 Hospital Dr
South Williamson, KY 41503
Phone (606) 237-1700

306 Hospital Dr
South Williamson, KY 41503
Phone (606) 237-1740

306 Hospital Dr
#110A
South Williamson, KY 41503
Phone (606) 237-1740

306 Hospital Dr
#202D
South Williamson, KY 41503
Phone (606) 237-1516

306 Hospital Dr
Ste 202D
South Williamson, KY 41503

Interoperability endpoints

  • Direct secure messaging: priscillagooslin@arh.medalliesdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1568414902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 HOSPITAL DR STE 202D",
            "city": "SOUTH WILLIAMSON",
            "state": "KY",
            "postal_code": "415034095",
            "telephone_number": "606-237-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 HOSPITAL DR # 202D",
            "city": "SOUTH WILLIAMSON",
            "state": "KY",
            "postal_code": "415034095",
            "telephone_number": "606-237-1516",
            "fax_number": "606-237-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOSLIN",
        "first_name": "PRISCILLA",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "42926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Williamson, KY

Sources for this page

Verify at the official NPI Registry.