Theresa Goodenough, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024174270 Issued in VA

Practice address

384 S Pantops Dr
Charlottesville, VA 22911-8678

Phone

(607) 725-0980

NPI assigned

Aug 19, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Wound Healing,LLCGroup PAC ID 3870837974, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Integrated Wound Healing,LLC

  • Family Nurse Practitioner
  • Charlottesville, VA
  • NPI 1912472978

  Single Specialty

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1649646183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 S PANTOPS DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118678",
            "telephone_number": "607-725-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 S PANTOPS DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118678",
            "telephone_number": "607-725-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODENOUGH",
        "first_name": "THERESA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": "VA",
            "license": "2005453868",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Good, MD
• Lauren Marie Good, MSW, LCSW
• Stephanie N Good, PA
• Susan Good, LMT
• Jessica Goode
• Barbara Goodin, MS RD
• Jordan Lenae Gooding, MD
• Howard P. Goodkin
• Richard Tait Goodling, MSW
• Paige Maddox Goodloe

• Family Nurse Practitioner in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.

Verify at the official NPI Registry.