Individual provider Active NPI

Susan A. Goode, N.P.

  • Family Nurse Practitioner
  • Foxboro, MA
National Provider Identifier
1982755294
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
260214 Issued in MA
Practice address
5 Mary Way
Foxboro, MA 02035-2778
Phone
(508) 543-4752
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP36931 RI
Family Nurse Practitioner 363LF0000X 260214 MA Primary

Addresses

Primary practice location

5 Mary Way
Foxboro, MA 02035-2778

Mailing address

5 Mary Way
Foxboro, MA 02035-2778
Phone (508) 543-4752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20090527000198 MA Practitioner - Nurse Practitioner 2668521493 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
260214MAMDFamily Nurse Practitioner
NP36931RIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osterville Health Care PC Current Accepting new patients
Cape Cod Primary Care LLC CurrentSince Sep 15, 2018 Accepting new patients

Locations

10 Osterville West Barnstable Rd
Osterville, MA 02655
Phone (508) 428-2620

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982755294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MARY WAY",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020352778",
            "telephone_number": "508-543-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MARY WAY",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020352778",
            "telephone_number": "508-543-4752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODE",
        "first_name": "SUSAN",
        "middle_name": "A.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "NP36931",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "260214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foxboro, MA

Sources for this page

Verify at the official NPI Registry.