Active NPI
Tate Madyson Goss
- Social Worker
- Kansas City, MO
National Provider Identifier
1568948024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 11001
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11001 | KS | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Truman Medical Center Incorporated | Current | Accepting new patients | |
| Truman Medical Center, Incorporated | Current | 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.
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1144207937
-
- Community/Behavioral Health Agency
- Kansas City, MO
- NPI 1497890495
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kansas City, MO
- NPI 1225773401
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.