Individual provider Active NPI

Lindsey Ann Goucher, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Rogers, AR
National Provider Identifier
1780348474
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
217887 Issued in AR
Practice address
3300 S Market St Ste 118
Rogers, AR 72758-8127
Phone
(479) 366-0850
NPI assigned
Oct 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 217887 AR Primary

Addresses

Primary practice location

3300 S Market St Ste 118
Rogers, AR 72758-8127

Mailing address

9 Selland LN
Bella Vista, AR 72715-5568
Phone (501) 514-0779

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
I20211129000784 AR Practitioner - Nurse Practitioner 4183014582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holden Psychiatric Institute PAGroup PAC ID 9234114349, 6 clinicians

Practice addresses (Care Compare)

2707 SE G St
Bentonville, AR 72712-3740
Phone (479) 367-2552

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Holden Psychiatric Institute, PA Psychiatric/Mental Health CurrentSince Nov 17, 2024 Accepting new patients
Holden Psychiatric Institute, PA Single Specialty CurrentSince Jul 15, 2023 Accepting new patients
Shawnte Farmer Psychiatric Services PLLC Single Specialty PastSince Oct 31, 2021 Accepting new patients

Locations

2707 SE G St
Bentonville, AR 72712
Phone (479) 367-2552

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1780348474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SELLAND LN",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727155568",
            "telephone_number": "501-514-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 S MARKET ST STE 118",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588127",
            "telephone_number": "479-366-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUCHER",
        "first_name": "LINDSEY",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "217887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.