THERESA GOODENOUGH FNP NPI 1649646183

NPI Information

  • NPI: 1649646183
  • Provider Name: THERESA GOODENOUGH, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 384 S PANTOPS DR
    CHARLOTTESVILLE, VA
    ZIP 22911
  • Phone: (607) 725-0980

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NPI Details

Theresa Goodenough, FNP is a family nurse practitioner in Charlottesville, VA with 11 years of experience. Theresa Goodenough, FNP NPI is 1649646183. The provider is registered as an individual entity type and is a multiple single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

384 S PANTOPS DR
CHARLOTTESVILLE, VA
ZIP 22911-678
Phone: (607) 725-0980

The NPI 1649646183 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 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.

  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Application of chemical to stop tissue regrowth in wound (HCPCS:17250)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Application of chemical to stop tissue regrowth in wound (HCPCS:17250)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)

The enumeration date for this NPI number is 8/19/2015 and was last updated on 3/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WW0000XRegistered NurseWound Care2005453868VIRGINIANo
2363LF0000XNurse PractitionerFamily0024174270VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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