Active NPI
Lindsey Ann Goucher, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Rogers, AR
National Provider Identifier
1780348474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 217887
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holden Psychiatric Institute, PA | Psychiatric/Mental Health | Current | Accepting new patients |
| Holden Psychiatric Institute, PA | Single Specialty | Current | Accepting new patients |
| Shawnte Farmer Psychiatric Services PLLC | Single Specialty | Past | 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.
-
- Psychiatry Physician
- Bentonville, AR
- NPI 1205001088
Single Specialty
-
- Psychiatry Physician
- Bentonville, AR
- NPI 1891230835
Psychiatric/Mental Health
-
- Psychiatric/Mental Health Nurse Practitioner
- Rogers, AR
- NPI 1982176335
Single Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.