Active NPI
Amy Nicole Goodwine, AU.D.
- Audiologist
- Dumfries, VA
National Provider Identifier
1285698308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2201000658
- Practice address
- 3986 Fettler Park Dr
Dumfries, VA 22025-1997 - Phone
- (703) 221-8307
- Fax
- (703) 221-8548
- NPI assigned
- Apr 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2201000658 | VA | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 2101001172 | VA |
Addresses
Primary practice location
3986 Fettler Park Dr
Dumfries, VA 22025-1997
Mailing address
3986 Fettler Park Dr
Dumfries, VA 22025-1997
Phone (703) 221-8307
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3986 Fettler Park Dr
Dumfries, VA 22025-1997
Phone (703) 221-8307
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2101001172 | VA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calmay Audiology LLC | Audiologist | Current | Accepting new patients |
Locations
3986 Fettler Park Dr
Dumfries, VA 22025
Phone (703) 221-8307
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1285698308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3986 FETTLER PARK DR",
"city": "DUMFRIES",
"state": "VA",
"postal_code": "220251997",
"telephone_number": "703-221-8307",
"fax_number": "703-221-8548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3986 FETTLER PARK DR",
"city": "DUMFRIES",
"state": "VA",
"postal_code": "220251997",
"telephone_number": "703-221-8307",
"fax_number": "703-221-8548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWINE",
"first_name": "AMY",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-14",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "VA",
"license": "2201000658",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "VA",
"license": "2101001172",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dumfries, VA
- Don A. Gizzi, RPH
- Shailesh K Gohel, M.D.
- Kerrie Jean Golden, DPT
- Sarah Jaquelyn Gonzalez, LCSW
- Claudia N Goodall, LCSW
- Got Your Six Counseling Services, PLLC
- Zanya Dinelle Graham, CPNP
- Greater Impact Health Care, LLC
- Greater Prince William Area Community Health Center Inc (Greater Prince William Community Health Center Dumfries)
- Latoya R Greene, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.