Active NPI
Anna Katherine Goodman, AUD
- Audiologist
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 282148
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 282148 | KY | MD | Audiologist-Hearing Aid Fitter |
| 2015017446 | MO | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton Children'S Medical Group, LLC | Audiologist | Current | Accepting new patients |
| Norton Children'S Medical Group, LLC | Current | Accepting new patients | |
| Advanced ENT and Allergy PLLC | Audiologist | Current | Accepting new patients |
| Norton Children'S Medical Group, LLC | Current | Accepting new patients | |
| Merit Anesthesia PLLC | Past | 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.
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- Psychiatry Physician
- Louisville, KY
- NPI 1457999096
-
- Pediatric Otolaryngology Physician
- Louisville, KY
- NPI 1316588957
Audiologist
-
- Pediatric Radiology Physician
- Louisville, KY
- NPI 1659913812
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1366624967
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.