Individual provider Active NPI

Rebecca Goodfriend, WHNP-BC

  • Women's Health Nurse Practitioner
  • Media, PA
National Provider Identifier
1467227330
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
SP028952 Issued in PA
Practice address
1098 W Baltimore Pike Ste 3109
Media, PA 19063-5139
Phone
(484) 443-2880
NPI assigned
Nov 20, 2023
Last updated
May 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 266109 TN
Registered Nurse 163W00000X 781848 PA
Women's Health Nurse Practitioner 363LW0102X SP028952 PA Primary

Addresses

Primary practice location

1098 W Baltimore Pike Ste 3109
Media, PA 19063-5139

Mailing address

515 Fitzwater St # 2
Philadelphia, PA 19147-3012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240702001775 PA Practitioner - Nurse Practitioner 2264976109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Womens Health Group LLCGroup PAC ID 2961316328, 352 clinicians

Practice addresses (Care Compare)

1098 W Baltimore Pike
Media, PA 19063-5139
Phone (484) 443-2880

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
781848PAMDRegistered Nurse
266109TNMDRegistered Nurse
SP028952PAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Womens Health Group LLC CurrentSince Apr 21, 2024 Accepting new patients
Regional Women's Health Group, LLC Past Accepting new patients

Locations

3050 Hamilton Blvd
Ste 200
Allentown, PA 18103
Phone (610) 435-9575

919 Conestoga Rd
Ste 104
Bryn Mawr, PA 19010
Phone (610) 525-6400

1020 Baltimore Pike
Ste 220
Glen Mills, PA 19342
Phone (610) 459-8191

1098 W Baltimore Pike
Media, PA 19063
Phone (610) 891-3030

1098 W Baltimore Pike
Ste 3109
Media, PA 19063
Phone (484) 443-2880

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 3

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": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1467227330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 FITZWATER ST # 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191473012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1098 W BALTIMORE PIKE STE 3109",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635139",
            "telephone_number": "484-443-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODFRIEND",
        "first_name": "REBECCA",
        "credential": "WHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "266109",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "781848",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "SP028952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.