Allison H Goodlett, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101238185 Issued in VA

Practice address

4701 Spotsylvania Parkway
Suite 200
Fredericksburg, VA 22408

Phone

(540) 834-5430

Fax

(540) 834-5431

NPI assigned

Jan 16, 2006

Last updated

Mar 21, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: allison.goodlett@hca6.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Richmond Multi-Specialty, LLC

  • Plastic Surgery Physician
  • Fredericksburg, VA
  • NPI 1922336304
  Medicare reassignment NPD
• Lewis Plastic Surgery, PC

  • Plastic Surgery Physician
  • Midlothian, VA
  • NPI 1386907400
  NPD (past)
• Pratt Medical Center LTD

  dba Pratt Healthcare Laboratory

  • Clinical Medical Laboratory
  • Fredericksburg, VA
  • NPI 1003840950
  NPD (past)
• Pratt Medical Center LTD

  dba Pratt Healthcare

  • Family Medicine Physician
  • Fredericksburg, VA
  • NPI 1316973555

  Pediatrics

  NPD (past)
• Pratt Medical Center,LTD

  dba Pratt Healthcare Radiology

  • Diagnostic Radiology Physician
  • Fredericksburg, VA
  • NPI 1669540894
  NPD (past)

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1811976046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1460",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224021460",
            "telephone_number": "540-786-2100",
            "fax_number": "540-786-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 SPOTSYLVANIA PARKWAY",
            "address_2": "SUITE 200",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22408",
            "telephone_number": "540-834-5430",
            "fax_number": "540-834-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODLETT",
        "first_name": "ALLISON",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-16",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101238185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3867087",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "CO2375",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "8133244",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0101238185",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010165237",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON HMO",
            "identifier": "7130390",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR RAILROAD GROUP",
            "identifier": "CA9037",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA CAP",
            "identifier": "000502782",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "179657",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Kenneth Gonzalez, MD
• Luz Amalya Gonzalez, CSAC, RESIDENT IN CO
• Mkiyah Teleza Gonzalez, N.P
• Odalys Gonzalez, FNP
• Hunter Carlisle Goode, RPH
• Charles Alexander Goodwin, PT
• Stephanie Elaine Goodwin, MA, CSAC, QMHP
• Laura S Goodwyn, LMT
• Goolricks Modern Pharmarcy Inc
• Kulbir Singh Goraya, D.D.S.

• Pediatrics Physician in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.