Active NPI
Cheryl Ann Goodrich, ACNP
- Adult Health Nurse Practitioner
- Woodburn, OR
National Provider Identifier
1932138310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 088000426N3
- Practice address
- 1002 N Boones Ferry Rd
Woodburn, OR 97071-9602 - Phone
- (503) 981-9526
- NPI assigned
- Jun 30, 2006
- Last updated
- Jun 29, 2017
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 088000426N3 | OR | Primary |
Addresses
Primary practice location
1002 N Boones Ferry Rd
Woodburn, OR 97071-9602
Mailing address
330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7782
Other names 1
- Cheryl Ann Goodrich
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 088000426N3 | OR | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Molalla Medical Clinic | Past | Accepting new patients | |
| Cascade Cardiology LLC | Past | Accepting new patients | |
| Cascade Cardiology LLC | Nurse Practitioner | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Salem, OR
- NPI 1447202668
-
- Internal Medicine Physician
- Molalla, OR
- NPI 1316013949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498694400000",
"number": "1932138310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 SEVEN SPRINGS WAY",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275098",
"telephone_number": "615-920-7782",
"fax_number": "615-920-8775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 N BOONES FERRY RD",
"city": "WOODBURN",
"state": "OR",
"postal_code": "970719602",
"telephone_number": "503-981-9526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODRICH",
"first_name": "CHERYL",
"middle_name": "ANN",
"credential": "ACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2017-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OR",
"license": "088000426N3",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHERYL",
"last_name": "GOODRICH",
"middle_name": "ANN",
"credential": "NURSE PRACTITIONER",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Woodburn, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.