Individual provider Active NPI

Rezvaneh Goodarzi, CRNP

  • Family Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1316544315
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F09201007 Issued in MD
Practice address
6220 Old Dobbin LN Ste 200
Columbia, MD 21045-5813
Phone
(410) 964-5300
NPI assigned
Oct 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 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 F09201007 MD Primary

Addresses

Primary practice location

6220 Old Dobbin LN Ste 200
Columbia, MD 21045-5813

Mailing address

6220 Old Dobbin LN Ste 200
Columbia, MD 21045-5813
Phone (410) 964-5300

Other practice location 1

7467 Broken Staff
Columbia, MD 21045-5040
Phone (443) 851-3277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220215000847 MD Practitioner - Nurse Practitioner 3274926209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bellor Leichtling Saway and Schneider PCGroup PAC ID 9436114931, 20 clinicians

Practice addresses (Care Compare)

5450 Knoll N Dr
Suite 275
Columbia, MD 21045-2394
Phone (410) 964-6139

622 O Old Dobbin LN
Columbia, MD 21045-5812
Phone (410) 964-6300

6220 Old Dobbin LN
Columbia, MD 21045-5812

6220 Old Dobbin LN
Suite 200
Columbia, MD 21045-5813
Phone (410) 964-5300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F09201007MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bellor Leichtling Saway & Schneider PC CurrentSince Feb 7, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6220 Old Dobbin Ln
Ste 200
Columbia, MD 21045
Phone (301) 262-0400

5450 Knoll North Dr
Ste 250
Columbia, MD 21045
Phone (410) 964-6200

5450 Knoll North Dr
Ste 275
Columbia, MD 21045
Phone (410) 964-6139

5450 Knoll North Dr
Ste 260
Columbia, MD 21045
Phone (410) 247-4740

Interoperability endpoints

  • Direct secure messaging: rezvaneh.goodarzicrnp.p2@direct.msmg.nextgenshare.com
  • Direct secure messaging: rezvaneh.goodarzi.1@30148.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1601683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1316544315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 OLD DOBBIN LN STE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455813",
            "telephone_number": "410-964-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 OLD DOBBIN LN STE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455813",
            "telephone_number": "410-964-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7467 Broken Staff",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210455040",
            "country_code": "US",
            "telephone_number": "443-851-3277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODARZI",
        "first_name": "REZVANEH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-03",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "F09201007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.