Active NPI
Kathleen F. Goodman, OGNP
- Obstetrics & Gynecology Nurse Practitioner
- Lexington, NC
National Provider Identifier
1821063231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 800006
- Practice address
- 7 Medical Park Dr
Lexington, NC 27292-6768 - Phone
- (336) 243-2431
- Fax
- (336) 243-2359
- NPI assigned
- Feb 20, 2006
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 800006 | NC | Primary |
Addresses
Primary practice location
7 Medical Park Dr
Lexington, NC 27292-6768
Mailing address
7 Medical Park Dr
Lexington, NC 27292-6768
Phone (336) 243-2431
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C3242 | Other | NC | MEDCOST NUMBER |
| 0701260 | Other | NC | UNITED HEALTHCARE NUMBER |
| 500028144 | Other | NC | RAILROAD MEDICARE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest University Health Sciences | Past | Accepting new patients | |
| Wake Forest University Health Sciences | Past | Accepting new patients |
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.
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
- Multi-Specialty Clinic/Center
- Lexington, NC
- NPI 1639454499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328745600000",
"number": "1821063231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 MEDICAL PARK DR",
"city": "LEXINGTON",
"state": "NC",
"postal_code": "272926768",
"telephone_number": "336-243-2431",
"fax_number": "336-243-2359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 MEDICAL PARK DR",
"city": "LEXINGTON",
"state": "NC",
"postal_code": "272926768",
"telephone_number": "336-243-2431",
"fax_number": "336-243-2359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "KATHLEEN",
"middle_name": "F.",
"credential": "OGNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-20",
"last_updated": "2012-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "NC",
"license": "800006",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST NUMBER",
"identifier": "C3242",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE NUMBER",
"identifier": "0701260",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE NUMBER",
"identifier": "500028144",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.