Kelly Goodman

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

907 Hay St Ste 100a
Fayetteville, NC 28305-5366

Phone

(910) 308-9884

NPI assigned

Jun 23, 2026

Last updated

Jun 23, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1782172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1730015959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 HAY ST STE 100A",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055366",
            "telephone_number": "910-308-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 HAY ST STE 100A",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055366",
            "telephone_number": "910-308-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarissa Olivia Gooding-Aytch
• Mysta Goodloe
• Amber Goodman
• Crysta Nadien Goodman, RBT
• Erika P Goodman, MS CCC-SLP
• Malena Goodnight
• Robert Wayne Goodrich
• Dina Moutos Goodson, PHARMD
• Ernest Jerome Goodson, DDS, MPA
• Isis Andrea Goodson, LPN

• Health & Wellness Coach in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Health & Wellness Coach in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.