KELLY GOODMAN NP AND ASSOCIATES PC
NPI 1770038887
Nurse Practitioner - Primary Care in Bethesda, MD

NPI Status: Active since August 18, 2016

Contact Information

4701 SANGAMORE RD
SUITE S207
BETHESDA, MD
ZIP 20816
Phone: (202) 684-7167

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  • Organization
  • Nurse Practitioner
  • Primary Care

About KELLY GOODMAN NP AND ASSOCIATES PC

This page provides the complete NPI Profile along with additional information for Kelly Goodman Np And Associates Pc, a provider established in Bethesda, Maryland operating as a Nurse Practitioner, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1770038887 assigned on August 2016. The practitioner's primary taxonomy code is 363LP2300X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Kelly Goodman Np And Associates Pc. The authorized official of this NPI record is Kelly Goodman Np (Owner)

NPI
1770038887
Provider Legal Name
PROMENADE PRIMARY CARE LLC
Other Organization Name
KELLY GOODMAN NP AND ASSOCIATES PC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4701 SANGAMORE RD SUITE S207 BETHESDA, MD 20816
Location Phone
(202) 684-7167
Mailing Address
955 LENFANT PLZ SW SUITE 325 WASHINGTON, DC 20024
Mailing Phone
(202) 684-7167
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-18-2016
Last Update Date
08-18-2016
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A nurse practitioner (NP) like Kelly Goodman Np And Associates Pc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Primary Care

Taxonomy Code
363LP2300X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KELLY GOODMAN NP

Authorized Official Title
OWNER
Authorized Official Phone
(202) 684-7167

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1770038887
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271400316816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 0 + 3 + 1 + 6 + 8 + 1 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1770038887 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548308000DR. JUDITH ELLEN SPREI PH.D.
Individual
Psychologist (Adult Development & Aging)4701 SANGAMORE RD
BETHESDA, MD 20816
(301) 229-0063
1386867018DR. LYNNWOOD ANDREWS PH.D.
Individual
Psychologist (Clinical)4701 SANGAMORE RD SUITE 135-SO
BETHESDA, MD 20816
(301) 907-0941
1821398991DR. LETITIA M DEAS PHARM.D.
Individual
Pharmacist4701 SANGAMORE RD
BETHESDA, MD 20816
(301) 320-1773
1700186236 VAN THI NGOC NGUYEN M
Individual
Pharmacist4701 SANGAMORE RD
BETHESDA, MD 20816
(301) 320-1773
1124384151DR. GREGORY JAEDUK KIM PHARMD
Individual
Pharmacist4701 SANGAMORE RD
BETHESDA, MD 20816
(301) 320-1770
1114022449DR. LANCE DOUGLAS CLAWSON M.D.
Individual
Psychiatry & Neurology (Psychiatry)4701 SANGAMORE RD SUITE N252
BETHESDA, MD 20816
(301) 320-3700
1730426495USRC BETHESDA LLC
Organization
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)4701 SANGAMORE RD SUITE P017
BETHESDA, MD 20816
(301) 761-3864
1326596974MEDBALANCE, LLC
Organization
Internal Medicine4701 SANGAMORE RD SUITE N270
BETHESDA, MD 20816
(240) 507-5110
1932658465 BERRE BURCH PH.D.
Individual
Psychologist4701 SANGAMORE RD
BETHESDA, MD 20816
(301) 681-6789
1215470968 KATIE MORRA RD, LDN
Individual
Dietitian, Registered4701 SANGAMORE RD N270
BETHESDA, MD 20816
(240) 507-5110
1023009974 SANDRA M DELISTATHIS MD
Individual
Internal Medicine4701 SANGAMORE RD UNITE N270
BETHESDA, MD 20816
(240) 507-5110
1619110756MR. MICHAEL CORY JECMEN M.AC., L.AC.
Individual
Acupuncturist4701 SANGAMORE RD
BETHESDA, MD 20816
(240) 507-5110
1649767864DR. DUONG NGUYEN PHARMD.
Individual
Pharmacist4701 SANGAMORE RD
BETHESDA, MD 20816
(301) 320-1773
1669965539 KATE MCSPADDEN LEINWEBER
Individual
Social Worker (Clinical)4701 SANGAMORE RD
BETHESDA, MD 20816
(301) 873-9921
1841229861NAI SATURN EASTERN LLC
Organization
Pharmacy (Community/Retail Pharmacy)4701 SANGAMORE RD
BETHESDA, MD 20816
(301) 320-1773
1467075713BLOSSOM AND GROW WELLNESS CENTER
Organization
Clinic/Center4701 SANGAMORE RD SUITE 100 N 1008
BETHESDA, MD 20816
(240) 366-2300
1669083036NAI SATURN EASTERN LLC
Organization
Pharmacy (Community/Retail Pharmacy)4701 SANGAMORE RD
BETHESDA, MD 20816
(301) 320-9111
1063171288 CLARISSA MAGORI GANDOLFO RN
Individual
Registered Nurse4701 SANGAMORE RD SUITE S207
BETHESDA, MD 20816
(202) 684-7167
1912637455 NATALIE MARIE COLLINS LMSW
Individual
Social Worker4701 SANGAMORE RD
BETHESDA, MD 20816
(301) 229-9490
1891402582 CLAUDIA CAROLINA BUSTAMANTE ABUID
Individual
Naturopath4701 SANGAMORE RD
BETHESDA, MD 20816
(701) 270-2081

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770038887, enumerated in the NPI registry as an "organization" on August 18, 2016

The provider is located at 4701 Sangamore Rd Suite S207 Bethesda, Md 20816 and the phone number is (202) 684-7167

This medical organization specializes in Nurse Practitioner with taxonomy code 363LP2300X with a focus in Primary Care

This NPI record was last updated on August 18, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.