Carrie S Goodrich (NPI# 1962813246, PAC ID# 5890012793) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1962813246 |
| PAC ID by PECOS | 5890012793 |
| Professional Enrollment ID | I20150401002003 |
| Full Name | Carrie S Goodrich |
| Organization Legal Name | PRIVIA MEDICAL GROUP,LLC |
| Address |
142 Smithfield Rd Saint Stephens Church VA 23148-2129 |
| Phone Number | 8047690103 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4385682061 |
| Number of Group Practice Members | 972 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490069 | BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER |
| 490084 | RIVERSIDE TAPPAHANNOCK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 142 Smithfield Rd, Saint Stephens Church, VA 23148-2129 | 8047690103 | PRIVIA MEDICAL GROUP,LLC |
| Organization Legal Name | PRIVIA MEDICAL GROUP,LLC |
| Physicians | 987 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana Jones-sheppard | Nurse Practitioner | Privia Medical Group,llc | 3903 Fair Ridge Dr, Suite 219, Fairfax, VA 22033-2945 |
| Ryan Timothy Pyles | Physician Assistant | Privia Medical Group,llc | 8700 Sudley Rd, Suite 220, Manassas, VA 20110-4418 |
| Emily Christine Stano | Psychologist, Clinical | Privia Medical Group,llc | 1901 Research Blvd, Suite 160, Rockville, MD 20850-6122 |
| Deidre Ann Fisher | Nurse Practitioner | Privia Medical Group,llc | 7505 Democracy Blvd, A113, Bethesda, MD 20817-1238 |
| Stephanie Carter | Family Medicine | Privia Medical Group,llc | 3650 Joseph Swck Dr, 205b All Female Obgyn LLC, Fairfax, VA 22033-1710 |
| Belen Tesfaye | Gastroenterology | Privia Medical Group,llc | 18121 Georgia Ave, Suite 103, Olney, MD 20832-1437 |
| Anita Sikand | Obstetrics/gynecology | Privia Medical Group,llc | 2440 M Street, 320 Pmg_cwhp_dc Office', Washington, DC 20037-1473 |
| Alicia Morgan-cooper | Pediatric Medicine | Privia Medical Group,llc | One E University Pkwy, 109 Pmg_viped_baltimore Office, Baltimore, MD 21218-2432 |
| Jonathan L Siddon | Internal Medicine | Privia Medical Group,llc | 9900 Belward Campus Dr, Suite 325, Rockville, MD 20850-4095 |
| Burcin U Fraser | Allergy/immunology | Privia Medical Group,llc | 1360 Beverly Rd, Suite 103, Mclean, VA 22101-3621 |
| Street Address |
142 SMITHFIELD RD |
| City | SAINT STEPHENS CHURCH |
| State | VA |
| Zip | 23148-2129 |
| City | SAINT STEPHENS CHURCH |
| Zip Code | 23148 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SAINT STEPHENS CHURCH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Carrie S Goodrich.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.