Individual provider Active NPI

Emily Elaine Goucher, APRN, WHNP-BC

  • Women's Health Nurse Practitioner
  • Rogers, AR
National Provider Identifier
1629527940
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
A004907 Issued in AR
Practice address
1233 W Poplar St
Rogers, AR 72756
Phone
(479) 636-9235
NPI assigned
Sep 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X A004907 AR Primary

Addresses

Primary practice location

1233 W Poplar St
Rogers, AR 72756

Mailing address

1233 W Poplar St
Rogers, AR 72756-4245
Phone (479) 636-9235

Other practice location 1

603-2 N Progress Ave
Suite 100
Siloam Springs, AR 72761-4063
Phone (479) 524-9312

Other practice location 2

603-2 N Progress Ave
Suite 100
Siloam Springs, AR 72761-4063
Phone (479) 524-9312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20161129000043 AR Practitioner - Nurse Practitioner 6800175399 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Francis House Nwa, Inc.Group PAC ID 0042262495, 67 clinicians

Practice addresses (Care Compare)

1233 W Poplar St
Community Clinic Rogers Medical
Rogers, AR 72756-4245
Phone (479) 636-9235

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis House Nwa, Inc Current Accepting new patients
St Francis House Nwa, Inc CurrentSince Apr 1, 2024 Accepting new patients
St. Francis House Nwa, Inc. Past Accepting new patients
Siloam Springs Women's Center PastSince Nov 28, 2016 Accepting new patients

Locations

614 E Emma Ave
Ste 300
Springdale, AR 72764
Phone (479) 751-4898

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, 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": "1475020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1629527940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 W POPLAR ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727564245",
            "telephone_number": "479-636-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 W POPLAR ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "72756",
            "telephone_number": "479-636-9235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603-2 N Progress Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Siloam Springs",
            "state": "AR",
            "postal_code": "727614063",
            "country_code": "US",
            "telephone_number": "479-524-9312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "603-2 N Progress Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Siloam Springs",
            "state": "AR",
            "postal_code": "727614063",
            "country_code": "US",
            "telephone_number": "479-524-9312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOUCHER",
        "first_name": "EMILY",
        "middle_name": "ELAINE",
        "credential": "APRN, WHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-28",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AR",
            "license": "A004907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.