Individual provider Active NPI

Anna Katherine Goodman, AUD

  • Audiologist
  • Louisville, KY
National Provider Identifier
1629440342
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
282148 Issued in KY
Practice address
411 E Chestnut St # Street6
Louisville, KY 40202-1713
Phone
(502) 583-3687
Fax
(502) 588-7840
NPI assigned
Oct 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 2015017446 MO
Audiologist-Hearing Aid Fitter 237600000X 282148 KY
Audiologist 231H00000X 282148 KY Primary

Addresses

Primary practice location

411 E Chestnut St # Street6
Louisville, KY 40202-1713

Mailing address

PO Box 776879
Chicago, IL 60677-6879
Phone (502) 588-9490

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230201002511 KY Practitioner - Qualified Audiologist 3072985969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced ENT and Allergy PLLCGroup PAC ID 2769525385, 37 clinicians

Practice addresses (Care Compare)

2944 Breckenridge LN
Louisville, KY 40220-1409
Phone 50289301591188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
282148KYMDAudiologist-Hearing Aid Fitter
2015017446MOMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children'S Medical Group, LLC Audiologist CurrentSince Jan 1, 2023 Accepting new patients
Norton Children'S Medical Group, LLC CurrentSince Jan 1, 2023 Accepting new patients
Advanced ENT and Allergy PLLC Audiologist CurrentSince Dec 1, 2024 Accepting new patients
Norton Children'S Medical Group, LLC Current Accepting new patients
Merit Anesthesia PLLC PastSince Apr 1, 2020 Accepting new patients

Locations

108 W Daisy Ln
New Albany, IN 47150
Phone (812) 945-3557

1725 Gagel Ave
Louisville, KY 40216
Phone (502) 995-5525

2944 Breckenridge Ln
Louisville, KY 40220
Phone (502) 995-5525

411 E Chestnut St
#6
Louisville, KY 40202
Phone (502) 588-9587

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

1050 E Market St
Ste 1
Louisville, KY 40206
Phone (502) 588-8905

Organizations & group practices 5

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": "1445385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1629440342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776879",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776879",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E CHESTNUT ST # STREET6",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021713",
            "telephone_number": "502-583-3687",
            "fax_number": "502-588-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "ANNA",
        "middle_name": "KATHERINE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-21",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MO",
            "license": "2015017446",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "KY",
            "license": "282148",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KY",
            "license": "282148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.