MRS. THERESA ANNE GOODMAN (NPI# 1316379324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316379324 |
| Entity Type | Individual |
| Full Name | MRS. THERESA ANNE GOODMAN |
| Other Name | THERESA A LASELVA |
| Credential | APRN, FNP-C |
| Practice Address |
1169 Eastern Pkwy Suite 1111 Louisville KY 40217-1417 |
| Practice Telephone | 5024564100 |
| Practice Fax Number | 5024598454 |
| Mailing Telephone | 5024564100 |
| Mailing Fax Number | 5024598454 |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2014-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 1104439 | KY | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3007914 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM | 000000894646 | 01 |
| CIGNA | 6492184 | 01 | |
| KY | 7100301500 | 05 | |
| KY | PASSPORT | 50073436 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609868298 | Theresa G. Goodman | Nurse Practitioner | 605 Ashton Manor Dr, Loganville, GA 30052-5330 | 2005-08-19 |
| 1992782411 | Theresa B. Goodman | Family Medicine | 18th Medical Group, Unit 5142, Apo, AP 96368-5142 | 2005-12-27 |
| Street Address |
1169 EASTERN PKWY SUITE 1111 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40217-1417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942202288 | Dennis S Gray | Family Medicine | 1169 Eastern Pkwy, Ste 1111, Louisville, KY 40217-1462 | 2005-06-01 |
| 1124667696 | Kayla Denise Wheatley | Social Worker | 1169 Eastern Pkwy, Louisville, KY 40217-1417 | 2020-01-02 |
| 1265070775 | Arianne Renee Eads | Behavioral Analyst | 1169 Eastern Pkwy, Louisville, KY 40217-1417 | 2019-12-16 |
| 1457811721 | James M Beams | Hearing Instrument Specialist | 1169 Eastern Pkwy, Louisville, KY 40217-1417 | 2019-03-22 |
| 1376015941 | Yusra Shabbir | Behavior Technician | 1169 Eastern Pkwy, Louisville, KY 40217-1417 | 2018-12-20 |
| 1093287674 | Khoi K Do | Behavior Technician | 1169 Eastern Pkwy, Louisville, KY 40217-1417 | 2018-12-20 |
| 1962907519 | Ashley Abrams | Behavior Technician | 1169 Eastern Pkwy, Louisville, KY 40217-1417 | 2018-03-27 |
| 1487172664 | Liltoyntia Jones-dikuwa | Social Worker | 1169 Eastern Pkwy, Suite # 3364, Louisville, KY 40217 | 2017-09-07 |
| 1720520745 | Sandra Gallagher | Marriage & Family Therapist | 1169 Eastern Pkwy, Suite 3364, Louisville, KY 40217-1417 | 2016-11-08 |
| 1982079059 | A Greater Alternative Inc | Case Management | 1169 Eastern Pkwy, Suite 1138, Louisville, KY 40217-1417 | 2015-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720564016 | Kaela Marie Turley | Nurse Practitioner | 2355 Poplar Level Rd Ste 405, Louisville, KY 40217 | 2018-07-19 |
| 1740710623 | Landmark of Louisville Rehabilitation and Nursing Center | Skilled Nursing Facility | 1155 Eastern Parkway, Louisville, KY 40217 | 2017-06-14 |
| 1386185437 | Meredith Brooke Ervin | Counselor | 1169 Eastern Pkwy Ste 3310, Louisville, KY 40217 | 2017-03-08 |
| 1437507621 | Kendra Pickerill | Speech-Language Pathologist | 906 Delor Avenue, Louisville, KY 40217 | 2016-05-27 |
| 1275947186 | Gary Muncy | Massage Therapist | 607 East Brandeis Ave, Louisville, KY 40217 | 2014-06-18 |
| 1912318791 | Stacey Charlotte Elmes | Case Manager/Care Coordinator | 2338 Alexanderave, Louisville, KY 40217 | 2014-05-14 |
| 1275819831 | April Mecasha Cox | Pharmacist | 808 Eastern Parkway, Louisville, KY 40217 | 2011-10-27 |
| 1831346204 | Nikki Renee Wilson | Registered Nurse | 1169 Eastern Pkwy Ste 1226, Louisville, KY 40217 | 2008-08-27 |
| 1497925440 | Sarah Beth Murrow | Chiropractor | 1100 Milton St, Louisville, KY 40217 | 2008-03-06 |
| 1457560302 | Ferenc Pantaleone Nagy | Surgery | 3 Audubon Plaza Dr Ste 220, Louisville, KY 40217 | 2007-05-21 |
| Find all providers in zip 40217 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618535 | Pamela Nicole Kinney | Nurse Practitioner | 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 | 2020-10-26 |
| 1457950883 | Tetteh Narteh | Nurse Practitioner | 10200 Linn Station Rd Ste 125, Louisville, KY 40223-3889 | 2020-10-16 |
| 1114525540 | Richard A Anane | Nurse Practitioner | 10200 Linn Station Rd Ste 300, Louisville, KY 40223-3841 | 2020-10-16 |
| 1427656081 | Elma Mustic | Nurse Practitioner | 9714 Boxford Way, Louisville, KY 40242-2305 | 2020-10-15 |
| 1679171318 | Cassandra Jane Lee | Nurse Practitioner | 3416 Imperator Ln Unit 103, Louisville, KY 40245-7752 | 2020-10-14 |
| 1942817762 | Merritt Borders | Nurse Practitioner | 1602 Hunnington Pl Apt 4, Louisville, KY 40220-3771 | 2020-09-25 |
| 1114533536 | Lyssa Alexandra Miller | Nurse Practitioner | 5120 Dixie Hwy Ste 101, Louisville, KY 40216-1775 | 2020-09-21 |
| 1174138713 | Paola Cristina Maldonado | Nurse Practitioner | 14719 Eddington Way Apt 304, Louisville, KY 40245-5581 | 2020-09-10 |
| 1033722525 | Bynisha Robertson | Nurse Practitioner | 5312 Sprigwood Ln, Louisville, KY 40291-1135 | 2020-08-25 |
| 1154931202 | Heather M Karem | Nurse Practitioner | 10207 Hartley Dr, Louisville, KY 40223-2735 | 2020-08-04 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40217 |
Please comment or provide details below to improve the information on MRS. THERESA ANNE GOODMAN.
| 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.