Individual provider Active NPI

Rachelle Nicole Goodbred, AUD

  • Audiologist-Hearing Aid Fitter
  • Towson, MD
National Provider Identifier
1780104349
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
4071 Issued in SC
Practice address
1220A E Joppa Rd Ste 230D
Towson, MD 21286-5817
Phone
(410) 889-0795
NPI assigned
Jun 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 4071 SC Primary

Addresses

Primary practice location

1220A E Joppa Rd Ste 230D
Towson, MD 21286-5817

Mailing address

1220A E Joppa Rd Ste 230D
Towson, MD 21286-5817
Phone (410) 889-0795

Other practice location 1

2227 Old Emmorton Rd Ste 114
Bel Air, MD 21015-6190
Phone (410) 889-0795

Other practice location 2

120 Westminster Pike, Suite 106
Reisterstown, MD 21136
Phone (410) 889-0795

Other identifiers 2

IdentifierTypeStateIssuer
01690OtherMDSTATE LICENSE
4071OtherSCSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, VA, MD, NC4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20170807001221 SC Practitioner - Qualified Audiologist 2860763042 Reassigns benefits to 1 organization
I20200403000463 VA Practitioner - Qualified Audiologist 2860763042 Reassigns benefits to 1 organization
I20241008001051 MD Practitioner - Qualified Audiologist 2860763042 Reassigns benefits to 1 organization
I20251208002495 NC Practitioner - Qualified Audiologist 2860763042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hampton Roads Otolaryngology Associates PLLCGroup PAC ID 7012820848, 21 clinicians

Practice addresses (Care Compare)

11803 Jefferson Ave
Suite 260
Newport News, VA 23606-4390
Phone (757) 825-2500

5408 Discovery Park Blvd
Williamsburg, VA 23188-2893
Phone (757) 825-2500

5659 Pkwy Dr
Suite 240
Gloucester, VA 23061-3792
Phone (757) 825-2500

Merit-based Incentive Payment System (MIPS)

Final score
76.59 of 100Reported as group
Quality
55.66
Promoting interoperability
99
Improvement activities
40
Cost
62.26

Merit-based Incentive Payment System (MIPS)

Final score
87.94 of 100Reported as group
Quality
82.83
Promoting interoperability
100
Improvement activities
40
Cost
76.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4071SCMDOrthopedic Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston ENT Associates, LLC CurrentSince Jun 16, 2017 Accepting new patients
Eastern Carolina Ear, Nose & Throat-Head & Neck Surgery, Inc CurrentSince Nov 24, 2025 Accepting new patients
Total ENT Care LLC CurrentSince Oct 1, 2024 Accepting new patients
Charleston ENT Associates, LLC CurrentSince Jun 16, 2017 Accepting new patients
Hampton Roads Otolaryngology Associates PLLC PastSince Oct 14, 2019 Accepting new patients
Innovative Hearing, Inc. Audiologist-Hearing Aid Fitter PastSince Nov 24, 2025 Accepting new patients

Locations

2227 Old Emmorton Rd
Ste 114
Bel Air, MD 21015
Phone (410) 569-7173

120 Westminster Pike
Ste 106
Reisterstown, MD 21136
Phone (410) 486-0497

1220A E Joppa Rd
Ste 230D
Towson, MD 21286
Phone (410) 299-1388

850 Johns Hopkins Dr
Greenville, NC 27834
Phone (252) 752-5227

2801 Wooten Blvd SW
Ste A
Wilson, NC 27893
Phone (252) 234-9469

1849 Savage Rd
Charleston, SC 29407
Phone (843) 576-2600

2295 Henry Tecklenburg Dr
Charleston, SC 29414

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1780104349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220A E JOPPA RD STE 230D",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865817",
            "telephone_number": "410-889-0795",
            "fax_number": "877-766-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220A E JOPPA RD STE 230D",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865817",
            "telephone_number": "410-889-0795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2227 Old Emmorton Rd Ste 114",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210156190",
            "country_code": "US",
            "telephone_number": "410-889-0795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Westminster Pike, Suite 106",
            "address_purpose": "LOCATION",
            "city": "Reisterstown",
            "state": "MD",
            "postal_code": "21136",
            "country_code": "US",
            "telephone_number": "410-889-0795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODBRED",
        "first_name": "RACHELLE",
        "middle_name": "NICOLE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "SC",
            "license": "4071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "01690",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4071",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.