Active NPI
Kimberly Ann Goodman, FNP-C
- Family Nurse Practitioner
- Pikeville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4007192
- Practice address
- 911 Bypass Rd BLDG a
Pikeville, KY 41501-1602 - Phone
- (606) 430-3500
- Fax
- (606) 218-4651
- NPI assigned
- Oct 31, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 114352 | WV | |
| Family Nurse Practitioner | 363LF0000X | 4007192 | KY | Primary |
Addresses
Primary practice location
911 Bypass Rd BLDG a
Pikeville, KY 41501-1602
Mailing address
PO Box 432
Pikeville, KY 41502-0432
Phone (606) 430-2201
Other practice location 1
221 4th Ave
Saint Albans, WV 25177-2821
Phone (304) 525-7111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
911 Bypass Rd
BLDG a
Pikeville, KY 41501-1689
Phone (606) 430-3500
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.67 of 100
- Quality
- 81.47
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.83
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4007192 | KY | MD | Family Nurse Practitioner |
| 114352 | WV | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huntington Hospitalist Group Inc | Current | Accepting new patients | |
| Pikeville Medical Center Inc | Current | Accepting new patients | |
| Huntington Hospitalist Group Inc | Current | Accepting new patients | |
| Huntington Hospitalist Group Inc | Current | Accepting new patients | |
| Pikeville Medical Center Inc. | Current | Accepting new patients | |
| Pikeville Medical Center Inc | Past | Accepting new patients |
Locations
184 S Mayo Trl
Pikeville, KY 41501
Phone (606) 430-2213
911 Bypass Rd
Bldg A
Pikeville, KY 41501
Phone (606) 430-2201
911 Bypass Rd
Pikeville, KY 41501
Phone (606) 218-4530
2828 1st Ave
Ste 204
Huntington, WV 25702
Phone (304) 525-7111
221 4th Ave
Saint Albans, WV 25177
Phone (304) 414-4873
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Pikeville, KY
- NPI 1528195864
-
- Hospitalist Physician
- Huntington, WV
- NPI 1750710166
-
- Multi-Specialty Clinic/Center
- Grayson, KY
- NPI 1467223982
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Huntington, WV
- NPI 1124695721
-
- Multi-Specialty Clinic/Center
- Cheyenne, WY
- NPI 1891599502
-
- Sleep Disorder Diagnostic Clinic/Center
- Whitesburg, KY
- NPI 1871575498
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Prestonsburg, KY
- NPI 1043878325
-
- Multi-Specialty Clinic/Center
- Prestonsburg, KY
- NPI 1700445319
Hospital
-
- General Acute Care Hospital
- Pikeville, KY
- NPI 1285621623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697760000000",
"number": "1639886740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 432",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415020432",
"telephone_number": "606-430-2201",
"fax_number": "606-218-4651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 BYPASS RD BLDG A",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415011602",
"telephone_number": "606-430-3500",
"fax_number": "606-218-4651"
}
],
"practiceLocations": [
{
"address_1": "221 4th Ave",
"address_purpose": "LOCATION",
"city": "Saint Albans",
"state": "WV",
"postal_code": "251772821",
"country_code": "US",
"telephone_number": "304-525-7111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOODMAN",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-31",
"last_updated": "2023-10-20",
"certification_date": "2023-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "WV",
"license": "114352",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "4007192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pikeville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.