Suzanna Hunter Goode, LNP

Individual provider Active NPI Family Nurse Practitioner · Quinton, VA

NPI 1760192199 · NPPES record last updated Jan 29, 2024

Key facts

NPI
1760192199
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
0024185827 (VA)
Practice address
8770 Matoaka Glen Rd
Quinton, VA 23141-1393
Phone
(804) 929-8255
NPI assigned
Nov 28, 2022
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024185827VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Glen Allen Medi LLC Past Accepting new patients
Midlothian Medi LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024185827 VA Yes

Addresses

Primary practice location

8770 Matoaka Glen Rd
Quinton, VA 23141-1393

Mailing address

8764 Matoaka Glen Rd
Quinton, VA 23141-1393
Phone (804) 929-8255

Other providers in Quinton, VA

All providers in Quinton, VA · Family Nurse Practitioner in Virginia

Sources for this page

Verify at the official NPI Registry.