| Alexis S Goodridge, APRN, MSN, PMHNP-BC | |
|
13260 Service Road, Walton, KY 41094 | |
| (859) 301-5901 | |
| (859) 301-5940 |
| Full Name | Alexis S Goodridge |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 13260 Service Road, Walton, Kentucky |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205464617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 3014449 (Kentucky) | Primary |
| 363L00000X | Nurse Practitioner | 3014449 (Kentucky) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Elizabeth Edgewood | Edgewood, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Summit Medical Group Inc | 2163326240 | 756 |
| Entity Name | Summit Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexis S Goodridge, APRN, MSN, PMHNP-BC Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 301-5901 | Alexis S Goodridge, APRN, MSN, PMHNP-BC 13260 Service Road, Walton, KY 41094 Ph: (859) 301-5901 |
Kayla R Slusher, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 62 Pine Top Dr, Walton, KY 41094 Phone: 606-776-4589 | |
Kayla Nicole Meister, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 528 Savannah Dr, Walton, KY 41094 Phone: 859-209-0394 | |
Ms. Lauren Nicole Doolittle, CNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 635 Chestnut Dr, Walton, KY 41094 Phone: 859-669-1623 | |
Olivia So, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 625 Chestnut Dr, Ste 106, Walton, KY 41094 Phone: 859-485-7900 |