Individual provider Active NPI

Amanda N Goddard, BSN RN MSN FNP-BC

  • Family Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1245878107
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R205859 Issued in MD
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

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200416000357 VA Practitioner - Nurse Practitioner 2769812635 Reassigns benefits to 1 organization
I20241223003008 DC Practitioner - Nurse Practitioner 2769812635 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Virginia Cancer Specialists, P.C. CurrentSince Mar 7, 2020 Accepting new patients
Virginia Cancer Specialists, P.C. CurrentSince Mar 7, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.