Kelly A Goodman, NP is an adult health nurse practitioner in Bethesda, MD with 18 years of experience. Kelly A Goodman, NP NPI is 1639396914. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
4701 SANGAMORE ROAD
SUITE 5207
BETHESDA, MD
ZIP 20816-529
Phone: (202) 684-7167
Fax: (240) 483-0441
The NPI 1639396914 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 21D2231407 - physician office with a certificate type of Certificate of Waiver.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)
- Administration of pneumococcal vaccine (HCPCS:G0009)
- Removal of impact ear wax, one ear (HCPCS:69210)
The enumeration date for this NPI number is 4/19/2007 and was last updated on 3/7/2023.