Individual
MRS. AMANDA N GODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN RN MSN FNP-BC
Contact information
Practice address
44035 RIVERSIDE PKWY STE 300, LEESBURG, VA 20176-8260
(703) 554-6800
(703) 724-7503
Mailing address
3040 WILLIAMS DR STE 100, FAIRFAX, VA 22031-4618
(571) 350-8400
(703) 724-7503
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024178831
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245878107
—
VA
01
—
VVY194A
MEDICARE PTAN
VA
Enumeration date
12/11/2019
Last updated
11/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us