MRS. KRISTEN NIKOLE GOODRICH (NPI# 1558696674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558696674 |
| Entity Type | Individual |
| Full Name | MRS. KRISTEN NIKOLE GOODRICH |
| Credential | RN, NNP-BC |
| Practice Address |
19600 E 39th St S Independence MO 64057-2301 |
| Practice Telephone | 8166987340 |
| Practice Fax Number | 8166987377 |
| Mailing Telephone | 8166987340 |
| Mailing Fax Number | 8166987377 |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2009-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
2003028620 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083835482 | Kristen Morgan Goodrich | Occupational Therapist | 3 Burlington Woods, Suite 304, Burlington, MA 01803-4514 | 2007-05-01 |
| 1740238484 | Kristen J. Goodrich | Pharmacist | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2006-05-05 |
| Street Address |
19600 E 39TH ST S |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64057-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194717223 | Terry Eugene Lienhop | Emergency Medicine | 19600 E 39th St S, Independence, MO 64057-2301 | 2005-08-16 |
| 1710511357 | Kyle James Koerner | Chiropractor | 19600 E 39th St S, Independence, MO 64057-2301 | 2020-02-22 |
| 1306477096 | Kelsie Rhea Town | Nurse Practitioner | 19600 E 39th St S, Independence, MO 64057-2301 | 2020-01-31 |
| 1669002515 | Charleen Brianne Sims | Nurse Practitioner | 19600 E 39th St S, Independence, MO 64057-2301 | 2020-01-20 |
| 1033671243 | Sol Allan Enriquez | Hospitalist | 19600 E 39th St S, Independence, MO 64057-2301 | 2019-04-05 |
| 1275098972 | Alfonso J Martinez Md LLC | Internal Medicine | 19600 E 39th St S, Independence, MO 64057-2301 | 2019-02-06 |
| 1811481153 | Kimberly Harris | Nurse Practitioner | 19600 E 39th St S, Independence, MO 64057-2301 | 2018-06-20 |
| 1821522186 | Rachel Anne Mcdonald | Family Medicine | 19600 E 39th St S, Independence, MO 64057-2301 | 2017-04-13 |
| 1326572876 | Joseph Sayegh | Family Medicine | 19600 E 39th St S, Independence, MO 64057-2301 | 2017-04-11 |
| 1144752767 | Erin Waldron | Registered Nurse | 19600 E 39th St S, Independence, MO 64057-2301 | 2017-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174002364 | Justine Barye Bolton | Physical Therapist | 2301 South 291 Highway, Independence, MO 64057 | 2018-08-09 |
| 1194230136 | Brantley Vincent Niendick | Occupational Therapist | 2301 S M 291 Hwy, Independence, MO 64057 | 2017-12-13 |
| 1437693561 | Derek Faulkner | Counselor | 2400 Little Blue Pkwy, Independence, MO 64057 | 2016-12-08 |
| 1578916136 | Jared Donald Gerstenkorn | Physical Therapist | 2301 South Highway 291, Independence, MO 64057 | 2016-07-19 |
| 1295198182 | Jennifer J Allen | Nurse Practitioner | 2310 Castle Drive, Independence, MO 64057 | 2016-03-30 |
| 1750750808 | Lisa Louise Freeman | Physical Therapy Assistant | 3980 S Jackson Dr, Independence, MO 64057 | 2015-09-18 |
| 1437543592 | Harold Epps | Specialist/Technologist | 2301 South Mo 291 Highway, Independence, MO 64057 | 2015-03-26 |
| 1245620426 | Holly Morgan | Occupational Therapist | 3980 S Jackson Dr., Independence, MO 64057 | 2015-01-27 |
| 1093128159 | Jennifer Falk Crumbaugh | Dentist | 3151 S. M-291 Highway, Suite A, Independence Mo, MO 64057 | 2014-06-06 |
| 1952711954 | Judy Bray | Occupational Therapy Assistant | 3980 East Jackson Drive, Independence, MO 64057 | 2014-04-30 |
| Find all providers in zip 64057 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043526429 | Jill Elizabeth Wiese | Nurse Practitioner | 19600 E 39th St S, Attn: Nicu, Independence, MO 64057-2301 | 2010-08-24 |
| 1619201076 | Angela K Pleacher | Nurse Practitioner | 19600 E 39th St S, Independence, MO 64057-2301 | 2009-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730727314 | Kimberly Diane Mackay | Nurse Practitioner | 1 Childrens Pl Ofc 6100, Saint Louis, MO 63110-1002 | 2019-12-14 |
| 1578914586 | Robin Wolf | Nurse Practitioner | 740 Francis Pl, Saint Louis, MO 63105-2462 | 2016-06-30 |
| 1457785867 | Nichole L Powell | Nurse Practitioner | 494 Flowering Magnolia Dr, O Fallon, MO 63366-7599 | 2013-08-21 |
| 1912256017 | Tiffany L Walker | Nurse Practitioner | 404 Keene Street, Columbia, MO 65201-0000 | 2012-09-05 |
| 1902116569 | Kenneth Andrew Mosley | Nurse Practitioner | 1505 Se 12th St, Lees Summit, MO 64081-3154 | 2010-10-18 |
| 1467617894 | Tammy Carol Lentz | Nurse Practitioner | 615 S Ballas Rd, Saint Louis, MO 63122-5314 | 2008-07-24 |
| 1225150675 | Dina Rea Lewis | Nurse Practitioner | 1465 South Grand Blvd, St. Louis, MO 63104 | 2007-04-05 |
| 1316985781 | Jacqueline Biondo | Nurse Practitioner | 1608 Sw New Orleans Ave, Lees Summit, MO 64081-2357 | 2006-06-04 |
| 1376150243 | Casey M Bradshaw | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-09-25 |
| 1164036851 | Andrea Bumb | Nurse Practitioner | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
| City | INDEPENDENCE |
| Zip Code | 64057 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.