Individual provider Active NPI

Tate Madyson Goss

  • Social Worker
  • Kansas City, MO
National Provider Identifier
1568948024
Registry record updated Dec 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
11001 Issued in KS
Practice address
2546 Holmes St
Kansas City, MO 64108-2743
Phone
(816) 221-0305
NPI assigned
Jul 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 11001 KS Primary

Addresses

Primary practice location

2546 Holmes St
Kansas City, MO 64108-2743

Mailing address

2029 Buchanan St
Kansas City, MO 64116-3405
Phone (816) 221-0305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230816003507 MO Practitioner - Clinical Social Worker 4880074970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Truman Medical Center IncorporatedGroup PAC ID 7315841418, 237 clinicians

Practice addresses (Care Compare)

300 SE 2ND St
100 Truman Medical Center Lakewood Counseli
Lees Summit, MO 64063-2759
Phone (816) 404-6170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11001KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Truman Medical Center Incorporated CurrentSince Mar 24, 2025 Accepting new patients
Truman Medical Center, Incorporated CurrentSince Mar 24, 2025 Accepting new patients
Truman Medical Center, Incorporated Current Accepting new patients

Locations

300 W 19th Ter
Kansas City, MO 64108
Phone (816) 404-5709

300 SE 2nd St
Ste 100
Lees Summit, MO 64063
Phone (816) 246-4050

Organizations & group practices 3

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": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1568948024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 BUCHANAN ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641163405",
            "telephone_number": "816-221-0305",
            "fax_number": "816-221-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2546 HOLMES ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082743",
            "telephone_number": "816-221-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSS",
        "first_name": "TATE",
        "middle_name": "MADYSON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "11001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.