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

NPI Status: Active since July 31, 2013

Contact Information

1169 EASTERN PKWY
SUITE 1111
LOUISVILLE, KY
ZIP 40217
Phone: (502) 456-4100
Fax: (502) 459-8454

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  • Individual
  • Female
  • Nurse Practitioner
  • Family
  • PECOS Enrolled

About THERESA GOODMAN

This page provides the complete NPI Profile along with additional information for Theresa Goodman, a provider established in Louisville, Kentucky with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1316379324 assigned on July 2013. The practitioner's primary taxonomy code is 363LF0000X with license number 3007914 (KY). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1316379324
Provider Name
MRS. THERESA ANNE GOODMAN APRN, FNP-C
Other Name
THERESA A LASELVA
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
1169 EASTERN PKWY SUITE 1111 LOUISVILLE, KY 40217
Location Phone
(502) 456-4100
Location Fax
(502) 459-8454
Mailing Address
1169 EASTERN PKWY SUITE 1111 LOUISVILLE, KY 40217
Mailing Phone
(502) 456-4100
Mailing Fax
(502) 459-8454
Is Sole Proprietor?
No
Enumeration Date
07-31-2013
Last Update Date
12-04-2014
Code Navigator

A nurse practitioner (NP) like Theresa Goodman is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
3007914
License State
KY

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163W00000XNursing Service Providers

Registered Nurse

1104439 (KY)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
50073436OTHER (01)KYPASSPORT
6492184OTHER (01)CIGNA
7100301500MEDICAID (05)KY 
000000894646OTHER (01)KYANTHEM
K136321MEDICARE PIN (08)KY 

Medicare Participation & PECOS Enrollment Status

Theresa Goodman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Drugs Administered Through DME

  • DME-Drugs Administered Through DME (DG006N)

    Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme (HCPCS:J7620)

    1 DME suppliers used 14 Medicare Claims 1680 Services Paid

Durable Medical Equipment

  • DME-Other DME (DE000N)

    Pharmacy dispensing fee for inhalation drug(s); per 30 days (HCPCS:Q0513)

    1 DME suppliers used 14 Medicare Claims 14 Services Paid

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 40217 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $82.24
  • Minimum New Patient Price $52.76
  • Maximum New Patient Price $162.27
  • Average New Patient Copayment $20.56
  • Minimum New Patient Copayment $13.19
  • Maximum New Patient Copayment $40.56

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $93.94
  • Minimum Established Patient Price $16.53
  • Maximum Established Patient Price $131.99
  • Average Established Patient Copayment $23.48
  • Minimum Established Patient Copayment $4.13
  • Maximum Established Patient Copayment $32.99

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for MRS. THERESA ANNE GOODMAN APRN, FNP-C

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1316379324, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
1
Doubled → 2
Pos 4
6
Unchanged
Pos 5
3
Doubled → 6
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
3
Unchanged
Pos 9
2
Doubled → 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 3 → 6 9 → 18 → 9 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 2 + 6 + 6 + 7 + 1 + 8 + 3 + 4 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1316379324.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dentist (General Practice)
1169 EASTERN PKWY, SUITE 1152 MEDICAL ARTS BUILDING
LOUISVILLE, KY 40217
Internal Medicine (Gastroenterology)
1169 EASTERN PKWY, G58
LOUISVILLE, KY 40217
Marriage & Family Therapist
1169 EASTERN PKWY, SUITE 1155
LOUISVILLE, KY 40217
Psychologist (Clinical)
1169 EASTERN PKWY, MEDICAL ARTS BUILDING SUITE 1147
LOUISVILLE, KY 40217
Psychologist (Clinical)
1169 EASTERN PKWY, SUITE 1147
LOUISVILLE, KY 40217
Social Worker (Clinical)
1169 EASTERN PKWY, SUITE 1147, MEDICAL ARTS BLDG.
LOUISVILLE, KY 40217
Specialist
1169 EASTERN PKWY, SUITE 1226
LOUISVILLE, KY 40217
Internal Medicine
1169 EASTERN PKWY, STE 1234
LOUISVILLE, KY 40217
Psychologist (Clinical)
1169 EASTERN PKWY, SUITE 3357
LOUISVILLE, KY 40217
Psychologist (Clinical Child & Adolescent)
1169 EASTERN PKWY, STE 431
LOUISVILLE, KY 40217
Family Medicine
1169 EASTERN PKWY, 1111
LOUISVILLE, KY 40217
Dentist (General Practice)
1169 EASTERN PKWY, SUITE #2353
LOUISVILLE, KY 40217
Dentist (General Practice)
1169 EASTERN PKWY, SUITE 423
LOUISVILLE, KY 40217
Psychologist (Clinical)
1169 EASTERN PKWY, SUITE 1165
LOUISVILLE, KY 40217
Psychologist
1169 EASTERN PKWY, MEDICAL ARTS BLDG SUITE 1147
LOUISVILLE, KY 40217
Internal Medicine (Rheumatology)
1169 EASTERN PKWY, SUITE 3451
LOUISVILLE, KY 40217
Marriage & Family Therapist
1169 EASTERN PKWY, SUITE 3450
LOUISVILLE, KY 40217
Specialist
1169 EASTERN PKWY, SUITE 3337
LOUISVILLE, KY 40217
Psychologist
1169 EASTERN PKWY, 1159 MEDICAL ARTS BUILDING
LOUISVILLE, KY 40217
Early Intervention Provider Agency
1169 EASTERN PKWY, SUITE 2252
LOUISVILLE, KY 40217

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316379324, enumerated as an "individual" on July 31, 2013.

The provider is located at 1169 EASTERN PKWY SUITE 1111 LOUISVILLE, KY 40217 and the phone number is (502) 456-4100.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Medicare, Medicaid, Cigna and Anthem Blue Cross. Please consult your insurance carrier or call the provider to verify.