NPI 1114604469 · live from the CMS NPI Registry
Kelsey Elizabeth Good, DNP
Nurse Practitioner in Barre, VT. National Provider Identifier 1114604469, active.
NPI record
| NPI | 1114604469 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 246 Granger Rd Ste 1, Barre, VT 05641 |
| Practice phone | 802-371-5950 |
| Mailing address | 719 Se Franklin St, Portland, OR 97202 |
| Enumerated | June 29, 2023 |
| Last updated | September 18, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics | 363LP0200X | 202325774 (OR) |
| Nurse Practitioner primary | 363L00000X | 101-0136455 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.