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KELLY GOODMAN NP AND ASSOCIATES PC
NPI 1770038887
Nurse Practitioner - Primary Care in Bethesda, MD

Active since August 18, 2016
4701 SANGAMORE RD, SUITE S207, BETHESDA, MD 20816(202) 684-7167 Get Directions Write a Review

NPPES record last updated: August 18, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Goodman Np And Associates Pc NPPES

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

KELLY GOODMAN NP AND ASSOCIATES PC (NPI 1770038887) is a healthcare organization registered as a primary care in Bethesda, Maryland and active in the NPI registry since August 2016. The organization lists Kelly Goodman, Owner, as its authorized official.

NPPES Registry Identity

NPI1770038887
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NamePROMENADE PRIMARY CARE LLC
Location Address4701 SANGAMORE RD, SUITE S207Bethesda, MD 20816-2508
Mailing Address955 Lenfant Plz Sw, Suite 325Washington, DC 20024-2119 · (202) 684-7167
Phone(202) 684-7167
Organization SubpartNo
Authorized OfficialKelly GoodmanOwner · (202) 684-7167
Enumeration DateAugust 18, 2016
✔ NPI 1770038887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
4701 SANGAMORE RD, Bethesda, MD 20816
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Other Names 1

Doing Business AsKelly Goodman Np And Associates Pc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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.

SANDRA M DELISTATHIS MD
Internal Medicine
4701 SANGAMORE RD, UNITE N270
BETHESDA, MD 20816
Montgomery County (240) 507-5110
CLARISSA MAGORI GANDOLFO RN
Registered Nurse
4701 SANGAMORE RD, SUITE S207
BETHESDA, MD 20816
Montgomery County (202) 684-7167
DR. LANCE DOUGLAS CLAWSON M.D.
Psychiatry & Neurology (Psychiatry)
4701 SANGAMORE RD, SUITE N252
BETHESDA, MD 20816
Montgomery County (301) 320-3700
DR. GREGORY JAEDUK KIM PHARMD
Pharmacist
4701 SANGAMORE RD
BETHESDA, MD 20816
Montgomery County (301) 320-1770
DR. JILLIAN CASEY ND
Naturopath
4701 SANGAMORE RD
BETHESDA, MD 20816
Montgomery County (240) 517-5110
RESILIENT PSYCHIATRY, LLC
Nurse Practitioner (Psychiatric/Mental Health)
4701 SANGAMORE RD
BETHESDA, MD 20816
Montgomery County (410) 343-9869
KATIE MORRA RD, LDN
Dietitian, Registered
4701 SANGAMORE RD, N270
BETHESDA, MD 20816
Montgomery County (240) 507-5110
KERI MARIE CRESSOTTI MSN, RN, IBCLC
Registered Nurse (Lactation Consultant)
4701 SANGAMORE RD
BETHESDA, MD 20816
Montgomery County (253) 314-6363

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 Promenade Primary Care LLC's NPI number?

The NPI number for Promenade Primary Care LLC is 1770038887. It was assigned to this organization in the NPPES registry on August 18, 2016. The provider is doing business as Kelly Goodman Np And Associates PC.

Where is Promenade Primary Care LLC located?

Promenade Primary Care LLC is located at 4701 Sangamore Rd Suite S207, Bethesda, MD 20816. The listed phone number is (202) 684-7167.

What is Promenade Primary Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Promenade Primary Care LLC was last updated on August 18, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.