Individual provider Active NPI

Jennifer Lynn Goodrich, MD

  • Otolaryngology Physician
  • Rockville, MD
National Provider Identifier
1003077587
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
D96630 Issued in MD
Practice address
3204 Tower Oaks Blvd Ste 400
Rockville, MD 20852-4250
Phone
(301) 315-0003
Fax
(301) 315-5866
NPI assigned
Jun 18, 2008
Last updated
Jul 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X D96630 MD Primary

Addresses

Primary practice location

3204 Tower Oaks Blvd Ste 400
Rockville, MD 20852-4250

Mailing address

3204 Tower Oaks Blvd Ste 400
Rockville, MD 20852-4250
Phone (301) 315-0003

Other names 1

  • Dr. Jennifer Lynn Nolan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230905000594 DC Practitioner - Otolaryngology 1850680638 Reassigns benefits to 2 organizations
I20241018002849 MD Practitioner - Dermatology 1850680638

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Georgetown University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for Advanced ENT Care LLCGroup PAC ID 1658647359, 103 clinicians

Practice addresses (Care Compare)

19801 Observation Dr
Germantown, MD 20876-4070
Phone (301) 557-6000

3204 Tower Oaks Blvd
Suite 400
Rockville, MD 20852-4250
Phone (301) 315-0003

6410 Rockledge Dr
Suite 305
Bethesda, MD 20817-1841
Phone (301) 652-8847

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D96630MDMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced ENT Care, LLC Otolaryngology CurrentSince Apr 1, 2025 Accepting new patients
Ear, Nose & Throat Specialists of Shady Grove, P.C. CurrentSince Sep 1, 2023 Accepting new patients
Cumberland Valley ENT Consultants Otolaryngology Past Accepting new patients

Locations

6410 Rockledge Dr
Ste 305
Bethesda, MD 20817
Phone (301) 493-9409

6701 Democracy Blvd
Ste 300
Bethesda, MD 20817
Phone (443) 351-4650

15001 Shady Grove Rd
Ste 100
Rockville, MD 20850
Phone (240) 702-0122

3204 Tower Oaks Blvd
Ste 400
Rockville, MD 20852
Phone (301) 315-0003

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCEHAA/Endpoint/JCEHAA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1003077587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 TOWER OAKS BLVD STE 400",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524250",
            "telephone_number": "301-315-0003",
            "fax_number": "301-315-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 TOWER OAKS BLVD STE 400",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524250",
            "telephone_number": "301-315-0003",
            "fax_number": "301-315-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODRICH",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "D96630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "NOLAN",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.