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MRS. THERESA ANNE GOODMAN APRN, FNP-C
NPI 1316379324
Nurse Practitioner - Family in Louisville, KY

Active since July 31, 2013PECOS Enrolled
1169 EASTERN PKWY, SUITE 1111, LOUISVILLE, KY 40217(502) 456-4100(502) 459-8454 Get Directions Write a Review

NPPES record last updated: December 4, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Theresa Anne Goodman Aprn, Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. THERESA ANNE GOODMAN APRN, FNP-C (NPI 1316379324) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3007914) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316379324
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. THERESA ANNE GOODMANCredential: APRN, FNP-C
Location Address1169 EASTERN PKWY, SUITE 1111Louisville, KY 40217-1417
Mailing Address1169 Eastern Pkwy, Suite 1111Louisville, KY 40217-1417 · (502) 456-4100 · Fax (502) 459-8454
Phone(502) 456-4100
Fax(502) 459-8454
Sole ProprietorNo
Enumeration DateJuly 31, 2013
Last NPPES UpdateDecember 4, 2014
✔ NPI 1316379324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3007914
Also ListedRegistered NurseTaxonomy 163W00000X · License 1104439 (KY)
1169 EASTERN PKWY, Louisville, KY 40217
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Other Names 1

Former Name (1)Theresa A Laselva

Other Identifiers 5

Other50073436KY · Passport
Other6492184Cigna
Medicaid7100301500KY
Other000000894646KY · Anthem
Medicare PINK136321KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Theresa Anne Goodman Aprn, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40217 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
1 supplier14 claims1,680 services$0.09 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier14 claims14 services$24.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOLLY PIPER RUCKS LPCC
Counselor (Mental Health)
1169 EASTERN PKWY, #2339
LOUISVILLE, KY 40217
Jefferson County (502) 408-3223
DR. HOLLY BETH GUSTAFSON PHD
Psychologist (Clinical Child & Adolescent)
1169 EASTERN PKWY, STE 431
LOUISVILLE, KY 40217
Jefferson County (502) 212-1032
MRS. JENNIFER DIANE HALE M.A.
Psychologist (Clinical)
1169 EASTERN PKWY, STE 2252
LOUISVILLE, KY 40217
Jefferson County (502) 454-4040
MRS. MARY BETH EVANS
Physical Therapist
1169 EASTERN PKWY, SUITE 2313
LOUISVILLE, KY 40217
Jefferson County (502) 309-9800
KAYLA DENISE WHEATLEY
Social Worker
1169 EASTERN PKWY
LOUISVILLE, KY 40217
Jefferson County (502) 693-1606
JANAJA KNOTT
Behavior Technician
1169 EASTERN PKWY
LOUISVILLE, KY 40217
Jefferson County (502) 242-9091
ROSEMARY DEFRANCISCI LMFT
Marriage & Family Therapist
1169 EASTERN PKWY, SUITE 3450
LOUISVILLE, KY 40217
Jefferson County (812) 697-1845
LOUISVILLE GASTROENTEROLOGY ASSOCIATES, PLLC
Nurse Anesthetist, Certified Registered
1169 EASTERN PKWY, SUITE G58
LOUISVILLE, KY 40217
Jefferson County (502) 452-9567

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Goodman's NPI number?

The NPI number for Theresa Goodman is 1316379324. It was assigned to this individual provider in the NPPES registry on July 31, 2013. The provider is also known as Theresa A Laselva.

Where is Theresa Goodman located?

Theresa Goodman practices at 1169 Eastern Pkwy Suite 1111, Louisville, KY 40217. The listed phone number is (502) 456-4100.

What is Theresa Goodman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Theresa Goodman enrolled in Medicare?

Yes. Theresa Goodman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theresa Goodman was last updated on December 4, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.