Individual provider Active NPI

Lynne K Goocey, APRN

  • Adult Health Clinical Nurse Specialist
  • Cincinnati, OH
National Provider Identifier
1790959161
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
COA09956NP Issued in OH
Practice address
2925 Vernon PL
#100
Cincinnati, OH 45219-2425
Phone
(513) 751-6667
Fax
(513) 792-4682
NPI assigned
Apr 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 3005735 KY
Adult Health Clinical Nurse Specialist 364SA2200X COA09956NP OH Primary

Addresses

Primary practice location

2925 Vernon PL
#100
Cincinnati, OH 45219-2425

Mailing address

2925 Vernon PL
Ste 100
Cincinnati, OH 45219-2425
Phone (513) 751-6667

Other identifiers 3

IdentifierTypeStateIssuer
201018460MedicaidIN
2944023MedicaidOH
7100100020MedicaidKY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170327002065 OH Practitioner - Nurse Practitioner 9133296908 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3005735KYMDAdult Health Nurse Practitioner
COA09956NPOHMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Gcga Physicians Inc. CurrentSince Jan 24, 2017 Accepting new patients
Oncology Hematology Care Inc Past Accepting new patients

Locations

2925 Vernon Pl
Ste 100
Cincinnati, OH 45219
Phone (513) 872-4555

3301 Mercy Health Blvd
Ste 100
Cincinnati, OH 45211
Phone (513) 751-2145

Organizations & group practices 2

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": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1790959161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 VERNON PL",
            "address_2": "STE 100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192425",
            "telephone_number": "513-751-6667",
            "fax_number": "513-872-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 VERNON PL",
            "address_2": "#100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192425",
            "telephone_number": "513-751-6667",
            "fax_number": "513-792-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOCEY",
        "first_name": "LYNNE",
        "middle_name": "K",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3005735",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "OH",
            "license": "COA09956NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201018460",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2944023",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100100020",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.