HOLLY RAE GOODALE CSA, LSA, CSFA
NPI 1669157988
Specialist/Technologist, Other - Surgical Assistant in Richmond, VA

Q: What is Holly Goodale's NPI number?

The NPI number for Holly Goodale is 1669157988. It was assigned to this individual provider in the NPPES registry on June 15, 2023. The provider is also known as Holly Rae Mordoff.

Q: What is Holly Goodale's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

Q: When was this NPI record last updated?

The NPPES record for Holly Goodale was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 June 15, 2023

5801 BREMO RD, RICHMOND, VA 23226(804) 285-2011 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2025, Jun 15, 2023 (2 updates tracked since 2023).

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About Holly Rae Goodale Csa, Lsa, Csfa NPPES

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

HOLLY RAE GOODALE CSA, LSA, CSFA (NPI 1669157988) is an individual surgical assistant in Richmond, Virginia, licensed in Virginia (0136000808) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1669157988

Entity TypeIndividualFemale

Primary Taxonomy246ZC0007X

Provider Legal NameHOLLY RAE GOODALECredential: CSA, LSA, CSFA

Location Address5801 BREMO RDRichmond, VA 23226-1907

Mailing Address2801 E Main St Apt 716Richmond, VA 23223-7917 · (301) 956-5489

Phone(804) 285-2011

Sole ProprietorYes

Enumeration DateJune 15, 2023

Last NPPES UpdateMay 12, 20252 updates tracked since enumeration

NPPES CertifiedMay 12, 2025

✔ NPI 1669157988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246ZC0007X

License✔ Licensed in VA · 0136000808

Definition

A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.

5801 BREMO RD, Richmond, VA 23226

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Other Names 1

Former Name (1)Holly Rae Mordoff

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ENJANA BYLYKBASHI MD

Emergency Medicine

5801 BREMO RD
RICHMOND, VA 23226

Richmond City (804) 285-2011

LAUREN BROOKE CHOI RN

Registered Nurse

5801 BREMO RD
RICHMOND, VA 23226

Richmond City (804) 285-2011

KRISTEN KENNEDY YOUNG RN

Registered Nurse

5801 BREMO RD
RICHMOND, VA 23226

Richmond City (804) 281-8208

DR. BETH BARTON HEWITT MD

Pathology (Anatomic Pathology & Clinical Pathology)

5801 BREMO RD
RICHMOND, VA 23226

Richmond City (804) 281-8100

JAMES R SHEFFERLY M.D.

Emergency Medicine

5801 BREMO RD, VIRGINIA EMERGENCY ASSOCIATES INC
RICHMOND, VA 23226

Richmond City (804) 287-7066

JEFFRY A ZIMMERMAN P.A.

Physician Assistant

5801 BREMO RD, ST FRANCIS EMERGENCY DEPARTMENT
RICHMOND, VA 23226

Richmond City (804) 287-7066

LISA BROADDUS ZIEGLER CRNA

Nurse Anesthetist, Certified Registered

5801 BREMO RD
RICHMOND, VA 23226

Richmond City (804) 285-2011

JONATHAN BOWERS SURGICAL ASSISTANT

Specialist/Technologist, Other (Surgical Assistant)

5801 BREMO RD
RICHMOND, VA 23226

Richmond City (804) 281-8503

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 Holly Goodale's NPI number?

The NPI number for Holly Goodale is 1669157988. It was assigned to this individual provider in the NPPES registry on June 15, 2023. The provider is also known as Holly Rae Mordoff.

Where is Holly Goodale located?

Holly Goodale practices at 5801 Bremo Rd, Richmond, VA 23226. The listed phone number is (804) 285-2011.

What is Holly Goodale's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Holly Goodale was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.