Healthcare Provider Details

I. General information

NPI: 1427857895
Provider Name (Legal Business Name): SARAH HARPER GOFF APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2025
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3430 NEWBURG RD STE 210
LOUISVILLE KY
40218-2458
US

IV. Provider business mailing address

5400 S WATTERSON TRL
LOUISVILLE KY
40291-1739
US

V. Phone/Fax

Practice location:
  • Phone: 502-454-8800
  • Fax:
Mailing address:
  • Phone: 502-536-1459
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number4035868
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: