Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
KELLY A GOODMAN
Active
Individual
KELLY A GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R156558
MD
363LA2200X
Adult Health Nurse Practitioner
RN966360
DC
364SA2200X
Adult Health Clinical Nurse Specialist
R156558
MD
Other
Enumeration date
04/19/2007
Last updated
07/14/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers