Ggskinlaserhair LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

GGSKINLASERHAIR LLC

Practice address

4701 Sangamore Rd Ste S207
Bethesda, MD 20816-2529

Phone

(202) 684-7167

Fax

(240) 483-0441

NPI assigned

Oct 21, 2020

Organization subpart

No

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

Authorized official

Name

Kelly Goodman, NP

Title

Nurse Practioner / Owner

Phone

(202) 684-7167

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1467051409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 SANGAMORE RD STE S207",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208162529",
            "telephone_number": "202-684-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 SANGAMORE RD STE S207",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208162529",
            "telephone_number": "202-684-7167",
            "fax_number": "240-483-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GGSKINLASERHAIR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "NURSE PRACTIONER / OWNER",
        "authorized_official_telephone_number": "202-684-7167",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Gerstenslager, MD
• David Gertler
• Cassandra Gessling, MD
• Dinna Getachew, DO
• Eric Joseph Getka, PH.D.
• Azam Ghafoor, M.D.
• Nayereh Nina Ghamarian, D.D.S.
• Marc Gregory Ghany, M.D.
• Ahmed M Gharib, M.D.
• Kara O'Brien Ghassabeh

• Nurse Practitioner in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.