KELLY ANN GOOCH NP
NPI 1477312692
Nurse Practitioner in Leesburg, VA

Q: What is Kelly Gooch's NPI number?

The NPI number for Kelly Gooch is 1477312692. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Q: What is Kelly Gooch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Gooch was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 18, 2024

19500 SANDRIDGE WAY STE 280, LEESBURG, VA 20176(703) 723-1757 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kelly Ann Gooch Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY ANN GOOCH NP (NPI 1477312692) is an individual nurse practitioner in Leesburg, Virginia, licensed in Virginia (0024187187) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1477312692

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKELLY ANN GOOCHCredential: NP

Location Address19500 SANDRIDGE WAY STE 280Leesburg, VA 20176-3690

Mailing Address7525 Chestnut Hill LnMarshall, VA 20115-2117

Phone(703) 723-1757

Sole ProprietorNo

Enumeration DateMarch 18, 2024

NPPES CertifiedMarch 18, 2024

✔ NPI 1477312692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in VA · 0024187187

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 0001259062 (VA)

19500 SANDRIDGE WAY STE 280, Leesburg, VA 20176

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Gooch's NPI number?

The NPI number for Kelly Gooch is 1477312692. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is Kelly Gooch located?

Kelly Gooch practices at 19500 Sandridge Way Ste 280, Leesburg, VA 20176. The listed phone number is (703) 723-1757.

What is Kelly Gooch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Kelly Gooch was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.