Individual provider

Alexis Goodridge, APRN, MSN, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner Nurse Practitioner Medicare enrolled

Alexis Goodridge, APRN, MSN, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner in Walton, KY, registered under NPI 1205464617. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 13260 SERVICE ROAD, Walton, KY 41094. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

13260 SERVICE ROAD, Walton, KY 41094 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
3014449 KY Psychiatric/Mental Health Nurse… primary
3014449 KY Nurse Practitioner

This provider holds licence 3014449 issued in KY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
5991135402
Enrollment ID
I20200424001340

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Psychiatric/Mental Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LP0808X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Psychiatric/Mental Health

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LP0808X Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health 3014449 KY primary
363L00000X Nurse Practitioner 3014449 KY

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1205464617 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMar 31, 2020
Last updatedNov 29, 2022
StatusActive
Sole proprietorNo
CredentialAPRN, MSN, PMHNP-BC
Practice address 13260 SERVICE ROAD
Walton, KY 41094
(859) 301-5901
Fax (859) 301-5940
Mailing address PO BOX 635283
Cincinnati, OH 45263
The last update on file is Nov 29, 2022. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1205464617 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 0 5 4 6 4 6 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 0 5 8 6 8 6 2

Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1205464617?
NPI 1205464617 is the National Provider Identifier assigned to Alexis Goodridge, APRN, MSN, PMHNP-BC in Walton, KY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Psychiatric/Mental Health cover?
Definition to come...
How do I contact Alexis Goodridge, APRN, MSN, PMHNP-BC?
The phone number on file with NPPES is (859) 301-5901, last updated Nov 29, 2022. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Alexis Goodridge, APRN, MSN, PMHNP-BC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1205464617 a valid number?
Yes. 1205464617 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.