MRS. KIRSTEN MARTIN GOETZ


Address: 8357 Leesburg Pike, Vienna, VA 22182-2493
Phone: 5716656440

MRS. KIRSTEN MARTIN GOETZ (NPI# 1750857496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750857496
Entity Type Individual
Full Name MRS. KIRSTEN MARTIN GOETZ
Credential MSN, APRN, FNP-BC
Practice Address 8357 Leesburg Pike
Vienna
VA 22182-2493
Practice Telephone 5716656440
Mailing Telephone 5716656440
Enumeration Date 2018-10-21
Last Update Date 2020-10-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
0024176764 VA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
7205 Little River Tpke, Annandale, VA 22003 8663892727

Office Location

Street Address 8357 LEESBURG PIKE
City VIENNA
State VA
Zip Code 22182-2493

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1578923165 Nina Sanjay Vani Physical Therapist 8320 Old Courthouse Rd Ste 401, Vienna, VA 22182 2016-02-25
1023489119 Camille Eunice Abelardo Physical Therapist 8206 Leesburg Pike Ste 403, Vienna, VA 22182 2015-10-14
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760099642 Lindsey Ruth Gustafson Nurse Practitioner 2054 Meadow Springs Dr, Vienna, VA 22182-3771 2020-09-25
1013525310 Sandra St Louis Thompson Nurse Practitioner 3946 King Graves Rd, Vienna, OH 44473 2020-07-22
1124572433 Katherine Chalkley Frederick Nurse Practitioner 243 Church St Nw Ste 100c, Vienna, VA 22180-4434 2016-08-04
1780972034 Patricia Crawford Nurse Practitioner 100 East Street Se, 301, Vienna, VA 22180-4800 2011-07-20
1144513037 Dana Yousef Nurse Practitioner 303 Maple Ave W Ste C, Vienna, VA 22180-4312 2011-05-25
1700112596 Anissa M Ben Aida Nurse Practitioner 370 Maple Ave W, Suite V, Vienna, VA 22180-5615 2009-10-29
1659554814 Joy F Fellman Nurse Practitioner 337 Maple Avenue E, Cvs - Minute Clinic, Vienna, VA 22180 2007-12-11
1043371537 Sharl Ann Trussell Nurse Practitioner 1212 E Union St, Vienna, GA 31092-7545 2006-12-12
1972687051 Dena C Taylor Nurse Practitioner 803 N 1st St, Vienna, IL 62995-1544 2006-10-25
1578677415 Athena Health Center, LLC Nurse Practitioner 1601 Grand Central Ave, Vienna, WV 26105-1082 2006-08-18
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Competitor

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City VIENNA
Zip Code 22182

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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