Active NPI
Amy Elizabeth Goad, NP-C
- Family Nurse Practitioner
- La Plata, MD
National Provider Identifier
1386046019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R196265
- Practice address
- 115 La Grange Ave Unit a
Suite 101
La Plata, MD 20646-9597 - Phone
- (301) 392-1935
- Fax
- (301) 392-1936
- NPI assigned
- Sep 25, 2014
- 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 | R196265 | MD | Primary |
Addresses
Primary practice location
115 La Grange Ave Unit a
Suite 101
La Plata, MD 20646-9597
Mailing address
115 La Grange Ave Unit a
Suite 101
La Plata, MD 20646-9597
Phone (301) 392-1935
Other names 1
- Miss Amy Elizabeth Bryant
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R196265 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411603200000",
"number": "1386046019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 LA GRANGE AVE UNIT A",
"address_2": "SUITE 101",
"city": "LA PLATA",
"state": "MD",
"postal_code": "206469597",
"telephone_number": "301-392-1935",
"fax_number": "301-392-1936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 LA GRANGE AVE UNIT A",
"address_2": "SUITE 101",
"city": "LA PLATA",
"state": "MD",
"postal_code": "206469597",
"telephone_number": "301-392-1935",
"fax_number": "301-392-1936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOAD",
"first_name": "AMY",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-25",
"last_updated": "2014-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R196265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "BRYANT",
"middle_name": "ELIZABETH",
"prefix": "MISS",
"credential": "RN, BSN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in La Plata, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.