Active NPI
Kathleen Goodwin, DC
- Chiropractor
- Rockville, MD
National Provider Identifier
1881489540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- S04242
- Practice address
- 1010 Rockville Pike Ste 308
Rockville, MD 20852-1495 - Phone
- (240) 624-2949
- NPI assigned
- Apr 14, 2025
- Last updated
- Apr 14, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | S04242 | MD | Primary |
Addresses
Primary practice location
1010 Rockville Pike Ste 308
Rockville, MD 20852-1495
Mailing address
4508 Norbeck Rd
Rockville, MD 20853-1707
Phone (301) 525-3569
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S04242 | MD | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1881489540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4508 NORBECK RD",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208531707",
"telephone_number": "301-525-3569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 ROCKVILLE PIKE STE 308",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208521495",
"telephone_number": "240-624-2949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIN",
"first_name": "KATHLEEN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-14",
"last_updated": "2025-04-14",
"certification_date": "2025-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "S04242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.