Active NPI
Amanda N Goddard, BSN RN MSN FNP-BC
- Family Nurse Practitioner
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R205859
- Practice address
- 501 W 7TH St
Frederick, MD 21701-4586 - Phone
- (240) 215-6310
- Fax
- (240) 566-7754
- NPI assigned
- Dec 11, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R205859 | MD | Primary |
Addresses
Primary practice location
501 W 7TH St
Frederick, MD 21701-4586
Mailing address
1 Frederick Health Way
Frederick, MD 21701-9435
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
44035 Riverside Pkwy
Suite 300
Leesburg, VA 20176-8260
Phone (703) 554-6800
8613 Route 29
200N
Fairfax, VA 22031-2171
Phone (703) 280-5390
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science, Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Cancer Specialists, P.C. | Current | Accepting new patients | |
| Virginia Cancer Specialists, P.C. | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
277 S Washington St
Ste 100
Alexandria, VA 22314
Phone (571) 366-5792
4660 Kenmore Ave
Ste 1018
Alexandria, VA 22304
Phone (571) 483-1800
1100 N Glebe Rd
Ste 1600
Arlington, VA 22201
8613 Route 29
Ste 100N
Fairfax, VA 22031
Phone (703) 934-4450
3040 Williams Dr
Ste 100
Fairfax, VA 22031
3700 Joseph Siewick Dr
Ste 408
Fairfax, VA 22033
Phone (703) 391-4212
8613 Route 29
#200N
Fairfax, VA 22031
8613 Route 29
Ste 101
Fairfax, VA 22031
Phone (703) 783-4510
8613 Route 29
Ste 200N
Fairfax, VA 22031
Phone (703) 208-3120
44035 Riverside Pkwy
Ste 310
Leesburg, VA 20176
44035 Riverside Pkwy
Ste 300
Leesburg, VA 20176
Phone (703) 208-3155
9450 Innovation Dr
Manassas, VA 20110
Phone (571) 222-2200
1860 Town Center Dr
Ste 460
Reston, VA 20190
Phone (703) 437-6535
210 W Shirley Ave
Ste 192
Warrenton, VA 20186
Phone (540) 316-4360
210 W Shirley Ave
#111
Warrenton, VA 20186
Phone (703) 208-9331
2280 Opitz Blvd
Ste 130
Woodbridge, VA 22191
Phone (713) 508-4005
2280 Opitz Blvd
#130
Woodbridge, VA 22191
Phone (703) 897-5358
Interoperability endpoints
- amanda.goddard@vcs.ikm.direct-ci.com
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Fairfax, VA
- NPI 1053847293
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Psychiatric Hospital Unit
- Leesburg, VA
- NPI 1285786228
-
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1245878107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FREDERICK HEALTH WAY",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217019435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 W 7TH ST",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217014586",
"telephone_number": "240-215-6310",
"fax_number": "240-566-7754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODDARD",
"first_name": "AMANDA",
"middle_name": "N",
"name_prefix": "Mrs.",
"credential": "BSN RN MSN FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-11",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R205859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.