Active NPI
Kelly Goodman NP & Associates PC
- Primary Care Nurse Practitioner
- Bethesda, MD
National Provider Identifier
1740503689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- KELLY GOODMAN NP & ASSOCIATES PC
- Practice address
- 4701 Sangamore Road
Suite S207
Bethesda, MD 20816-2529 - Phone
- (202) 684-7167
- Fax
- (240) 483-0441
- NPI assigned
- Mar 7, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelly Ann Goodman, NP
- Title
- Owner
- Phone
- (202) 684-7167
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Primary Care Nurse Practitioner | 363LP2300X | R156558 | MD | |
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
4701 Sangamore Road
Suite S207
Bethesda, MD 20816-2529
Mailing address
4701 Sangamore Road
Suite S207
Bethesda, MD 20816-2529
Phone (202) 684-7167
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4910 Massachusetts Ave NW
Ste 316
Washington, DC 20016
Phone (202) 684-7167
4701 Sangamore Rd
Ste S207
Bethesda, MD 20816
Phone (202) 684-7167
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752451200000",
"number": "1740503689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 SANGAMORE ROAD",
"address_2": "SUITE S207",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208162529",
"telephone_number": "202-684-7167",
"fax_number": "240-483-0441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 SANGAMORE ROAD",
"address_2": "SUITE S207",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208162529",
"telephone_number": "202-684-7167",
"fax_number": "240-483-0441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KELLY GOODMAN NP & ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-07",
"last_updated": "2025-07-14",
"certification_date": "2025-07-14",
"status": "A",
"authorized_official_last_name": "GOODMAN",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "202-684-7167",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": "MD",
"license": "R156558",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.