Individual provider Active NPI

Carrie Goodrich, FNP

  • Family Nurse Practitioner
  • Lexington, VA
National Provider Identifier
1962813246
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024171642 Issued in VA
Practice address
110 Houston St Ste D
Lexington, VA 24450-2437
Phone
(540) 462-3950
Fax
(540) 464-4449
NPI assigned
May 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024171642 VA Primary

Addresses

Primary practice location

110 Houston St Ste D
Lexington, VA 24450-2437

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5352

Other practice location 1

142 Smithfield Rd
Saint Stephens Church, VA 23148-2129
Phone (804) 769-0103

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150401002003 VA Practitioner - Nurse Practitioner 5890012793 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carilion Emergency Services IncGroup PAC ID 7012820889, 67 clinicians
Carilion Healthcare CorporationGroup PAC ID 5890607253, 540 clinicians

Practice addresses (Care Compare)

110 Houston St
Suite D
Lexington, VA 24450-2437
Phone (540) 591-9456

1935 W Main St
Salem, VA 24153-3109
Phone (540) 302-0190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Emergency Services, Inc. CurrentSince Nov 6, 2023 Accepting new patients
Carilion Healthcare Corporation CurrentSince Nov 6, 2023 Accepting new patients
Privia Medical Group, LLC CurrentSince Sep 15, 2018 Accepting new patients
Pulmonary Associates of Richmond Inc CurrentSince Mar 16, 2015 Accepting new patients
Privia Medical Group, LLC CurrentSince Sep 15, 2018 Accepting new patients
Carilion Healthcare Corporation CurrentSince Nov 6, 2023 Accepting new patients

Locations

215 Gilbert St
Blacksburg, VA 24060
Phone (540) 961-8040

434 Peppers Fry Rd NW
Christiansburg, VA 24073
Phone (540) 382-6000

13205 Booker T Washington Hwy
Hardy, VA 24101
Phone (540) 719-1815

110 Houston St
Ste D
Lexington, VA 24450
Phone (540) 462-3950

8644 Sudley Rd
#220
Manassas, VA 20110

7497 Right Flank Rd
Ste 520
Mechanicsville, VA 23116
Phone (804) 559-2014

2354 Colony Crossing Pl
Midlothian, VA 23112
Phone (804) 288-6261

1000 Boulders Pkwy
Ste 102
North Chesterfield, VA 23225
Phone (804) 591-3134

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

1935 W Main St
Salem, VA 24153
Phone (540) 302-0190

142 Smithfield Rd
St Stephns Ch, VA 23148
Phone (804) 769-0103

Interoperability endpoints

  • Direct secure messaging: cgoodrich171641@direct.carilionclinic.org

Organizations & group practices 6

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": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1962813246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713",
            "telephone_number": "540-224-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HOUSTON ST STE D",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244502437",
            "telephone_number": "540-462-3950",
            "fax_number": "540-464-4449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "142 Smithfield Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Stephens Church",
            "state": "VA",
            "postal_code": "231482129",
            "country_code": "US",
            "telephone_number": "804-769-0103",
            "fax_number": "804-769-8203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODRICH",
        "first_name": "CARRIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024171642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, VA

Sources for this page

Verify at the official NPI Registry.