Individual provider Active NPI

Kristin Marie Good, R.T.(CT)

  • Computed Tomography Radiologic Technologist
  • Lynchburg, VA
National Provider Identifier
1578852927
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Computed Tomography Radiologic TechnologistTaxonomy code 2471C3401X
License
459164 Issued in VA
Practice address
170 Edgewood Dr
Apt B
Lynchburg, VA 24502-3226
Phone
(540) 764-2049
NPI assigned
Apr 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Computed Tomography Radiologic Technologist 2471C3401X 459164 VA Primary
Computed Tomography Radiologic Technologist 2471C3401X 0120005949 VA
Computed Tomography Radiologic Technologist 2471C3401X 15836 AZ
Computed Tomography Radiologic Technologist 2471C3401X 3288 HI

Addresses

Primary practice location

170 Edgewood Dr
Apt B
Lynchburg, VA 24502-3226

Mailing address

170 Edgewood Dr
Apt B
Lynchburg, VA 24502-3226
Phone (540) 764-2049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15836AZMDComputed Tomography Radiologic Technologist
3288HIMDComputed Tomography Radiologic Technologist
0120005949VAMDComputed Tomography Radiologic Technologist
459164VAMDComputed Tomography Radiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302048000000",
    "number": "1578852927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 EDGEWOOD DR",
            "address_2": "APT B",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245023226",
            "telephone_number": "540-764-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 EDGEWOOD DR",
            "address_2": "APT B",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245023226",
            "telephone_number": "540-764-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOD",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "credential": "R.T.(CT)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3401X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": "VA",
            "license": "459164",
            "primary": true
        },
        {
            "code": "2471C3401X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": "VA",
            "license": "0120005949",
            "primary": false
        },
        {
            "code": "2471C3401X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": "AZ",
            "license": "15836",
            "primary": false
        },
        {
            "code": "2471C3401X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": "HI",
            "license": "3288",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.