Lisa Kay Goodrich, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F07221838 Issued in OH

Practice address

4031 Colonel Glenn Hwy
Ste 133
Beavercreek, OH 45431-2774

Phone

(552) 320-6448

Fax

(888) 546-0488

NPI assigned

Sep 7, 2022

Last updated

Mar 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mobile Physician Services IncGroup PAC ID 4688685654, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fidelity Health Care Home health agency, Moraine, OH, CCN 367160
• Everheart Hospice Hospice, Greenville, OH, CCN 361529

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lisa.goodrich.1@29651.direct.athenahealth.com

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.

• Mobile Physician Services Inc.

  • Internal Medicine Physician
  • New Port Richey, FL
  • NPI 1003002759

  OH

  Medicare reassignment Care Compare group NPD
• Specialized Care Initiative PLLC

  • Adult Health Nurse Practitioner
  • New Port Richey, FL
  • NPI 1255179743

  OH

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fidelity Health Care Inc

  dba Fidelity Nursing Systems

  • Home Health Agency
  • Moraine, OH
  • NPI 1235127838
  Care Compare affiliation
• Hospice of Darke County Inc

  dba EverHeart Hospice

  • Community Based Hospice Care Agency
  • Greenville, OH
  • NPI 1164400529
  Care Compare affiliation

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1659092666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 COLONEL GLENN HWY",
            "address_2": "STE 133",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454312774",
            "telephone_number": "552-320-6448",
            "fax_number": "888-546-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 COLONEL GLENN HWY",
            "address_2": "STE 133",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454312774",
            "telephone_number": "552-320-6448",
            "fax_number": "888-546-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODRICH",
        "first_name": "LISA",
        "middle_name": "KAY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "F07221838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Robert Glowienka, M.D.
• Suman Goel
• Jennifer W Gonzalez, PA
• Good Morning Physical Therapy and Rehab
• Patricia A. Gooding, M.S. LPCC
• Theresia Gordnier
• Gordon W Womack DDS Inc (Beavercreek Pediatric Dentistry)
• Gordon W. Womack DDS Inc
• Michael W Gorsky, M.D.
• Sarah Gould, PA

• Nurse Practitioner in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.