Individual provider Active NPI

Vandi Gooch, MHA, MSN, APRN-CNP

  • Nurse Practitioner
  • Henderson, KY
National Provider Identifier
1982430294
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4026764 Issued in KY
Practice address
1305 N Elm St
Henderson, KY 42420-2783
Phone
(270) 957-8800
Fax
(270) 957-8797
NPI assigned
Sep 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28187478A IN
Registered Nurse 163W00000X 28187478C IN
Family Nurse Practitioner 363LF0000X 4026764 KY
Nurse Practitioner 363L00000X 4026764 KY Primary

Addresses

Primary practice location

1305 N Elm St
Henderson, KY 42420-2783

Mailing address

3223 Keystone Hills Dr
Evansville, IN 47711-2229
Phone (812) 449-6848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241114002424 KY Practitioner - Nurse Practitioner 2163956038 Reassigns benefits to 1 organization
I20250602000532 IN Practitioner - Nurse Practitioner 2163956038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Specialty Physicians, IncGroup PAC ID 0244595205, shared by 3 NPIs, 228 clinicians

Practice addresses (Care Compare)

1305 N Elm St
Henderson, KY 42420-2783
Phone (812) 490-4550

4015 Gateway Blvd
Suite 2120
Newburgh, IN 47630-9460
Phone (812) 842-2737

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28187478AINMDRegistered Nurse
28187478CINMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Specialty Physicians Inc Nurse Practitioner CurrentSince Mar 30, 2025 Accepting new patients
Deaconess Specialty Physicians, Inc Nurse Practitioner Current Accepting new patients
Deaconess Specialty Physicians, Inc Nurse Practitioner CurrentSince Apr 15, 2025 Accepting new patients
Deaconess Specialty Physicians Inc Nurse Practitioner CurrentSince Mar 30, 2025 Accepting new patients
Deaconess Specialty Physicians, Inc Nurse Practitioner Current Accepting new patients

Locations

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

4015 Gateway Blvd
Ste 2120
Newburgh, IN 47630
Phone (812) 492-5457

1808 Sherman Dr
Princeton, IN 47670
Phone (812) 385-3401

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

2200 E Parrish Ave
Owensboro, KY 42303
Phone (270) 691-0059

2200 E Parrish Ave
Bldg A
Owensboro, KY 42303
Phone (270) 228-2811

Interoperability endpoints

  • Direct secure messaging: vmiller41254@direct.deaconess.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1982430294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 KEYSTONE HILLS DR",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477112229",
            "telephone_number": "812-449-6848",
            "fax_number": "270-957-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 N ELM ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202783",
            "telephone_number": "270-957-8800",
            "fax_number": "270-957-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOCH",
        "first_name": "VANDI",
        "credential": "MHA, MSN, APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-12",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28187478A",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28187478C",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4026764",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4026764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, KY

Sources for this page

Verify at the official NPI Registry.