Active NPI
Aundrea Gooden
- Nurse Practitioner
- Olympia Fields, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 277001961
- Practice address
- 3302 Vollmer Rd
Olympia Fields, IL 60461-1179 - Phone
- (708) 898-0811
- NPI assigned
- Apr 24, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 277001961 | IL | Primary |
| Family Nurse Practitioner | 363LF0000X | 209.012421 | IL |
Addresses
Primary practice location
3302 Vollmer Rd
Olympia Fields, IL 60461-1179
Mailing address
321 Friar Tuck Dr
Schererville, IN 46375-1811
Phone (773) 354-9371
Other practice location 1
16540 Halsted St Ste A
Harvey, IL 60426-6111
Phone (708) 898-0811
Other practice location 2
20121 Crawford Ave
Olympia Fields, IL 60461-1009
Phone (708) 898-0811
Other practice location 3
2315 E 93rd St Ste 239
Chicago, IL 60617-3984
Phone (708) 898-0811
Other practice location 4
1100 Jorie Blvd Ste 220
Oak Brook, IL 60523-4421
Phone (463) 205-1154
Other practice location 5
2340 S Highland Ave Ste 280
Lombard, IL 60148-5371
Phone (630) 521-3132
Other practice location 6
601 W Golf Rd Ste 105
MT Prospect, IL 60056-4276
Phone (630) 521-3132
Other practice location 7
8741 S Greenwood Ave
Chicago, IL 60619-7061
Phone (630) 521-3132
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | agooden284251@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- 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, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2302 Twilight Dr
Aurora, IL 60503-6704
Phone (773) 841-9627
5521 W Lincoln Hwy
Suite 205
Crown Point, IN 46307-1098
Phone (219) 769-1464
5623 W Touhy Ave
Niles, IL 60714-4019
Phone (720) 703-5293
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277001961 | IL | MD | Nurse Practitioner |
| 209.012421 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Wound Management Co | Current | Accepting new patients | |
| Madry Mobile Healthcare and Consultants LLC | Nurse Practitioner | Current | Accepting new patients |
| Family Wound Care Physicians Inc | Current | Accepting new patients | |
| Villagehealth DM LLC | Current | Accepting new patients | |
| Kidney Care Center Olympia Fields LLC | Current | Accepting new patients |
Locations
3325 N Arlington Heights Rd
Ste 200C
Arlington Heights, IL 60004
Phone (224) 268-7247
2315 E 93rd St
Ste 239
Chicago, IL 60617
Phone (219) 472-0379
4001 W Devon Ave
Ste 210
Chicago, IL 60646
Phone (773) 283-8488
16540 Halsted St
Ste A
Harvey, IL 60426
Phone (708) 898-0811
5623 W Touhy Ave
Niles, IL 60714
Phone (847) 647-3140
3322 Vollmer Rd
Ste B
Olympia Fields, IL 60461
3302 Vollmer Rd
Olympia Flds, IL 60461
Phone (708) 864-2006
4137 Sauk Trl
Ste 163
Richton Park, IL 60471
Phone (872) 216-5411
9800 Connecticut Dr
Crown Point, IN 46307
Phone 3122712471 ext. 102
5521 W Lincoln Hwy
Ste 205
Crown Point, IN 46307
Phone (219) 769-1464
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- agooden508976@direct.franciscanalliance.org
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.
-
- Clinic/Center
- Hoffman Estates, IL
- NPI 1407658545
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1013733922
-
- Nephrology Physician
- Olympia Fields, IL
- NPI 1619389715
-
- Nurse Practitioner
- Crown Point, IN
- NPI 1730949496
-
- Family Medicine Physician
- Aurora, IL
- NPI 1710612486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1689061855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 FRIAR TUCK DR",
"city": "SCHERERVILLE",
"state": "IN",
"postal_code": "463751811",
"telephone_number": "773-354-9371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3302 VOLLMER RD",
"city": "OLYMPIA FIELDS",
"state": "IL",
"postal_code": "604611179",
"telephone_number": "708-898-0811"
}
],
"practiceLocations": [
{
"address_1": "16540 Halsted St Ste A",
"address_purpose": "LOCATION",
"city": "Harvey",
"state": "IL",
"postal_code": "604266111",
"country_code": "US",
"telephone_number": "708-898-0811",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20121 Crawford Ave",
"address_purpose": "LOCATION",
"city": "Olympia Fields",
"state": "IL",
"postal_code": "604611009",
"country_code": "US",
"telephone_number": "708-898-0811",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2315 E 93rd St Ste 239",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606173984",
"country_code": "US",
"telephone_number": "708-898-0811",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 Jorie Blvd Ste 220",
"address_purpose": "LOCATION",
"city": "Oak Brook",
"state": "IL",
"postal_code": "605234421",
"country_code": "US",
"telephone_number": "463-205-1154",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2340 S Highland Ave Ste 280",
"address_purpose": "LOCATION",
"city": "Lombard",
"state": "IL",
"postal_code": "601485371",
"country_code": "US",
"telephone_number": "630-521-3132",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 W Golf Rd Ste 105",
"address_purpose": "LOCATION",
"city": "MT Prospect",
"state": "IL",
"postal_code": "600564276",
"country_code": "US",
"telephone_number": "630-521-3132",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8741 S Greenwood Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606197061",
"country_code": "US",
"telephone_number": "630-521-3132",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOODEN",
"first_name": "AUNDREA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-24",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "277001961",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.012421",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "agooden284251@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3302 Vollmer Rd",
"city": "Olympia Fields",
"state": "IL",
"country_code": "US",
"postal_code": "604611179",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "3302 Vollmer Rd",
"city": "Olympia Fields",
"state": "IL",
"country_code": "US",
"postal_code": "604611179",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Olympia Fields, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.