# SHIRLEY H GOFF

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1386834273
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 3005049 | KY | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | 3005049 | KY | — |
| 364S00000X | Clinical Nurse Specialist | 5049S | KY | — |

## Other

- **Enumeration date:** 07/27/2007
- **Last updated:** 08/05/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000549131 | ANTHEM BCBS PIN | KY |
| 01 | — | 1629114707 | GROUP NPI EKAHC | — |
| 05 | — | 20036018 | — | KY |
| 01 | — | 7100062200 | NURSE PRACTITIONER MEDICAID | KY |
| 01 | — | 7100146710 | MEDICAID PRIMARY CARE | KY |