Active NPI
Susan R Goble, FNP
- Nurse Practitioner
- Englewood, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 14943
- Practice address
- 3360 Highway 411 N
Englewood, TN 37329-5276 - Phone
- (423) 887-5131
- Fax
- (423) 887-5917
- NPI assigned
- Apr 1, 2010
- Last updated
- Aug 10, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 14943 | TN | Primary |
Addresses
Primary practice location
3360 Highway 411 N
Englewood, TN 37329-5276
Mailing address
1923 Sulphur Springs Rd
Morristown, TN 37813-5654
Phone (423) 317-9344
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1522908 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- 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
- University of Tennessee, HSC, College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3360 Hwy 411 N
Englewood, TN 37329-3269
Phone (423) 887-5131
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14943 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Health Systems | Current | Accepting new patients | |
| Covenant Medical Group, Inc. | Current | Accepting new patients | |
| Athens Physicians Practice LLC | Current | Accepting new patients | |
| Athens Physicians Practice, LLC | Current | Accepting new patients | |
| Cherokee Health Systems | Current | Accepting new patients | |
| Covenant Medical Group, Inc | Current | Accepting new patients | |
| Cherokee Health Systems | Past | Accepting new patients | |
| Athens Physicians Practice LLC | Past | Accepting new patients |
Locations
711 Cook Dr
Ste 100
Athens, TN 37303
Phone (423) 744-7585
719 Cook Dr
Ste 104
Athens, TN 37303
Phone (423) 745-9770
3360 Highway 411 N
Englewood, TN 37329
Phone (423) 887-5131
872 Highway 411 N
Unit G
Etowah, TN 37331
Phone (423) 744-7585
Dept 888179
Knoxville, TN 37995
111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554
1923 Sulphur Springs Rd
Morristown, TN 37813
6350 W Andrew Johnson Hwy
#100
Talbott, TN 37877
Phone (423) 586-5031
Interoperability endpoints
- susan.goble.p1@direct.cherokeehealth.nextgenshare.com
Organizations & group practices 8
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.
-
dba River Valley Health
- Federally Qualified Health Center (FQHC)
- Talbott, TN
- NPI 1134128820
-
dba Starr Orthopedics & Sports Medicine
- Orthopaedic Surgery Physician
- Athens, TN
- NPI 1689055774
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1457302010
-
dba Starr Regional Family Practice - Etowah
- Rural Health Clinic/Center
- Etowah, TN
- NPI 1508627175
-
dba River Valley Health
- Federally Qualified Health Center (FQHC)
- White Pine, TN
- NPI 1699666404
-
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
- NPI 1871269415
-
dba William R. Bowers MD
- Family Medicine Physician
- Athens, TN
- NPI 1073532123
-
dba River Valley Health
- Federally Qualified Health Center (FQHC)
- Morristown, TN
- NPI 1043457161
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Starr Regional Medical Center
- General Acute Care Hospital
- Athens, TN
- NPI 1669567319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628553600000",
"number": "1811212962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1923 SULPHUR SPRINGS RD",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378135654",
"telephone_number": "423-317-9344",
"fax_number": "423-714-2355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3360 HIGHWAY 411 N",
"city": "ENGLEWOOD",
"state": "TN",
"postal_code": "373295276",
"telephone_number": "423-887-5131",
"fax_number": "423-887-5917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOBLE",
"first_name": "SUSAN",
"middle_name": "R",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-01",
"last_updated": "2021-08-10",
"certification_date": "2021-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "14943",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1522908",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.