ELIZABETH SHELLY GOODIEL (NPI# 1194874016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194874016 |
| Entity Type | Individual |
| Full Name | ELIZABETH SHELLY GOODIEL |
| Credential | C.R.N.F.A,M.S.N.,CNM |
| Practice Address |
3650 Joseph Siewick Dr Suite 203 Fairfax VA 22033-1710 |
| Mailing Address |
2028 Opitz Blvd Suite One Woodbridge VA 22191-3306 |
| Practice Telephone | 7033911500 |
| Practice Fax Number | 7038601549 |
| Mailing Telephone | 7036902295 |
| Mailing Fax Number | 7036906445 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 0001074325 | VA | Nursing Service Providers |
| N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
0024074325 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367A00000X | Advanced Practice Midwife | 0001074325 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3650 JOSEPH SIEWICK DR SUITE 203 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-1710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596692 | Noemi S. Dosova | Pediatrics | 3650 Joseph Siewick Dr, Ste 101, Fairfax, VA 22033-1700 | 2005-05-24 |
| 1215546395 | Ryan Lawson | Nurse Practitioner | 3650 Joseph Siewick Dr, Fairfax, VA 22033-1710 | 2020-07-24 |
| 1043842503 | Shereen A Robinson | Nurse Practitioner | 3650 Joseph Siewick Dr, Fairfax, VA 22033-1710 | 2020-02-12 |
| 1700373982 | Brenda D Carpenter | Pharmacist | 3650 Joseph Siewick Dr, Fairfax, VA 22033-1710 | 2018-04-13 |
| 1487194262 | Molly Boyer Broache | Nurse Practitioner | 3650 Joseph Siewick Dr, Suite 203, Fairfax, VA 22033-1710 | 2017-02-28 |
| 1649714155 | About Care Gyn Associates, Pllc | Clinic/Center | 3650 Joseph Siewick Dr, Suite 309, Fairfax, VA 22033-1710 | 2016-12-19 |
| 1407209307 | Tara Lynne Kiser | Nurse Practitioner | 3650 Joseph Siewick Dr, 400, Fairfax, VA 22033-1710 | 2016-07-15 |
| 1003266552 | Thuy Phuong Thi Vo | Family Medicine | 3650 Joseph Siewick Dr, 400, Fairfax, VA 22033-1710 | 2016-06-15 |
| 1760897342 | Melissa Suzanne Rogina | Advanced Practice Midwife | 3650 Joseph Siewick Dr, Suite 203, Fairfax, VA 22033 | 2014-06-23 |
| 1104230929 | Clare Gosek | Family Medicine | 3650 Joseph Siewick Dr, Suite 400, Fairfax, VA 22033-1710 | 2014-06-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821347287 | Kim S Terhune | Advanced Practice Midwife | 4001 Fair Ridge Dr Ste 219, Fairfax, VA 22033-2917 | 2012-08-31 |
| 1164974325 | Rebecca M Hindman | Advanced Practice Midwife | 8501 Arlington Blvd, Suite 300, Fairfax, VA 22031-4617 | 2016-11-03 |
| 1760897342 | Melissa Suzanne Rogina | Advanced Practice Midwife | 3650 Joseph Siewick Dr, Suite 203, Fairfax, VA 22033 | 2014-06-23 |
| 1962493866 | Susan Lee Russo | Advanced Practice Midwife | 4001 Fair Ridge Dr, Suite 303, Fairfax, VA 22033-2917 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527140 | Leah Suzanne Choate | Advanced Practice Midwife | 2048 Cross County Rd, Mineral, VA 23117-2519 | 2020-10-28 |
| 1770199978 | Rachael Leffler Freeman | Advanced Practice Midwife | 1011 Care Way Ste 200, Fredericksburg, VA 22401-8439 | 2020-09-22 |
| 1194340869 | Stephenia Marie Deloglos | Advanced Practice Midwife | 7603 Forest Ave Ste 207, Richmond, VA 23229-4937 | 2020-06-09 |
| 1174147722 | Emma Navarro Gupta | Advanced Practice Midwife | 4604 Spotsylvania Pkwy Ste 225, Fredericksburg, VA 22408-7765 | 2020-05-29 |
| 1932734316 | Aaron Matthew Diestel | Advanced Practice Midwife | 420 Cobblestone Dr Apt 109, Fredericksburg, VA 22401-6675 | 2020-03-06 |
| 1144880600 | Julie Anne Flanagan | Advanced Practice Midwife | 1101 Sam Perry Blvd Ste 401, Fredericksburg, VA 22401-4466 | 2019-06-17 |
| 1750875498 | Pauline D Thompson | Advanced Practice Midwife | 4604 Spotsylvania Pkwy Ste 310, Fredericksburg, VA 22408-7766 | 2018-06-16 |
| 1972028199 | Stephanie Creighton Barrett | Advanced Practice Midwife | 3803 Fairfax Dr Ste 500, Arlington, VA 22203-5861 | 2017-08-09 |
| 1265955728 | Casey Lynette Morrow | Advanced Practice Midwife | 1850 Town Center Pkwy Ste 650, Reston, VA 20190-3300 | 2017-07-17 |
| 1295285666 | Robin Jennifer Pass Tucker | Advanced Practice Midwife | 44055 Riverside Pkwy Ste 234, Leesburg, VA 20176-5177 | 2016-10-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.