KELLY GOODMAN NP & ASSOCIATES PC (NPI# 1740503689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740503689 |
| Entity Type | Organization |
| Organization Name | KELLY GOODMAN NP & ASSOCIATES PC |
| Practice Address |
4701 Sangamore Road Suite S207 Bethesda MD 20816-2529 |
| Practice Telephone | 2026847167 |
| Practice Fax Number | 2404830441 |
| Mailing Telephone | 2026847167 |
| Mailing Fax Number | 2404830441 |
| Enumeration Date | 2010-03-07 |
| Last Update Date | 2016-08-18 |
| Authorized Official Name | KELLY ANN GOODMAN (OWNER) |
| Authorized Official Telephone | 2026847167 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
R156558 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4701 SANGAMORE ROAD SUITE S207 |
| City | BETHESDA |
| State | MD |
| Zip Code | 20816-2529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255453064 | Patrick Michael Kildea Jr. | Dentist | 4701 Sangamore Road, North 250, Bethesda, MD 20816-2591 | 2007-04-04 |
| 1427576891 | Jennifer Lynn Kehoe | Nurse Practitioner | 4701 Sangamore Road, Suite S207, Bethesda, MD 20816 | 2017-09-06 |
| 1639396914 | Kelly A Goodman | Nurse Practitioner | 4701 Sangamore Road, Suite 5207, Bethesda, MD 20816-2529 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881257756 | Marie Theresa Newman | Registered Nurse | 6211 Winnebago Road, Bethesda, MD 20816 | 2019-04-17 |
| 1336695600 | Corewood Care LLC | In Home Supportive Care | 4701 Sangamore Rd Ste S225, Bethesda, MD 20816 | 2016-08-28 |
| 1184077786 | Bobby Mann | Dentist | 4701 Sangamore Rd Ste 250, Bethesda, MD 20816 | 2016-07-19 |
| 1538572755 | Bethesda-chevy Chase Assessment and Counseling Associates | Social Worker | 4701 Sangamore Rd., #s235, Bethesda, MD 20816 | 2014-06-05 |
| 1982022430 | Kate Poropatich | Student in an Organized Health Care Education/Training Program | 5710 Springfield Dr., Bethesda, MD 20816 | 2014-04-02 |
| 1134567373 | Edwin Gordon | Specialist | 5821 Osceola Rd, Bethesda, MD 20816 | 2013-06-10 |
| 1336470335 | Robin Andrea Ely | Family Medicine | 4633 River Road, Bethesda, MD 20816 | 2010-01-15 |
| 1861630220 | Cheryl Sladkin Altschuler | Pediatrics | 7307 Macarthur Blvd, Suite 200, Bethesda, MD 20816 | 2009-01-22 |
| 1689869323 | Monroe Pray Jr. | Psychiatry & Neurology | 4915 Earlston Dr, Bethesda, MD 20816 | 2007-09-06 |
| 1154426989 | Maryland Cvs Pharmacy LLC | Pharmacy | 4601a Sangamore Rd, Bethesda, MD 20816 | 2006-09-14 |
| Find all providers in zip 20816 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659852580 | Kelly Care, LLC | Nurse Practitioner | 4701 Sangamore Rd Ste S207, Bethesda, MD 20816-2529 | 2018-08-28 |
| 1770038887 | Promenade Primary Care LLC | Nurse Practitioner | 4701 Sangamore Rd, Suite S207, Bethesda, MD 20816-2508 | 2016-08-18 |
| 1861891566 | Christina Schrack | Nurse Practitioner | 4701 Sangamore Rd, S207, Bethesda, MD 20816-2508 | 2014-08-19 |
| 1275808610 | Marjorie Watters Pray | Nurse Practitioner | 9309 Old Georgetown Rd, Bethesda, MD 20814-1620 | 2012-03-19 |
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| 1225653611 | Zynith Health Care & Associates | Nurse Practitioner | 4061 Powder Mill Rd Ste 101, Beltsville, MD 20705-3156 | 2020-06-11 |
| 1124640974 | Liberty Family Care | Nurse Practitioner | 8515 Liberty Rd Ste B, Randallstown, MD 21133-4832 | 2020-05-15 |
| 1437785706 | Hajia M Nagaiya | Nurse Practitioner | 3525 Courtleigh Dr, Baltimore, MD 21244-2205 | 2020-03-19 |
| 1578195475 | Baltimore Healthcare At Home, LLC | Nurse Practitioner | 9501 Branchleigh Rd, Randallstown, MD 21133-2056 | 2020-02-07 |
| Find all providers with the same taxonomy | ||||
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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.