Anita Louise Goodrich, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

042-0008753 Issued in VT

Practice address

354 Mountain View Dr
Suite 300
Colchester, VT 05446-5988

Phone

(802) 864-0192

Fax

(802) 860-4919

NPI assigned

Sep 6, 2006

Last updated

Jun 30, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Anita Goodrich Licata Other name

Medicare fee-for-service enrollment

Enrolled in VT, NY2 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

Specialty

Dermatology

Education

Yale University School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Green Mountain Dermatology PLLCGroup PAC ID 4688011992, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Univ. of Vermont - Fletcher Allen Health Care Hospital, Burlington, VT, CCN 470003

Merit-based Incentive Payment System (MIPS)

Final score

88.67 of 100Reported as group

Quality

80.11

Improvement activities

40

Cost

88.76

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alicata@fourseasonsderm.emadirect.md

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.

• Green Mountain Dermatology PLLC

  dba Four Seasons Dermatology

  • Dermatology Physician
  • Colchester, VT
  • NPI 1093577827

  NY

  Medicare reassignment Care Compare group NPD
• Integrated Dermatology of South Burlington, PLLC

  • Dermatology Physician
  • South Burlington, VT
  • NPI 1871199703
  Medicare reassignment NPD
• Four Seasons Dermatology LLC

  • Dermatology Physician
  • Colchester, VT
  • NPI 1790737393
  Medicare reassignment

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

• University of Vermont Medical Center Inc

  • General Acute Care Hospital
  • Burlington, VT
  • NPI 1568419976
  Care Compare affiliation

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1356444509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 MOUNTAIN VIEW DRIVE",
            "address_2": "SUITE 300",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054465988",
            "telephone_number": "802-658-8624",
            "fax_number": "802-860-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 MOUNTAIN VIEW DR",
            "address_2": "SUITE 300",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054465988",
            "telephone_number": "802-864-0192",
            "fax_number": "802-860-4919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Healey Ave",
            "address_purpose": "LOCATION",
            "city": "Plattsburgh",
            "state": "NY",
            "postal_code": "129012413",
            "country_code": "US",
            "telephone_number": "802-864-0192",
            "fax_number": "802-860-4919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODRICH",
        "first_name": "ANITA",
        "middle_name": "LOUISE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VT",
            "license": "042-0008753",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "204646",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANITA",
            "last_name": "LICATA",
            "middle_name": "GOODRICH",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jaime Goddette, PT
• Golden Colchester PLLC
• Glenn David Goldman, MD
• Amanda Goldstein, DPT
• Kathryn Gonzalez, MD
• Lisa Bartlett Goodwin, P.T.
• Amela Graco, LCMHC
• Courtney Trainer Graham, PHARMD
• Penny S. Grant, MA
• Green Mountain Anesthesia Group LLC

• Dermatology Physician in Colchester, VT
• Providers in Colchester, VT by specialty
• Dermatology Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.

Verify at the official NPI Registry.