| Ki'arra M Goodman, FNP-BC | |
|
7300 Ashlake Pkwy Ste 200, Chesterfield, VA 23832-2827 | |
| (804) 256-8282 | |
| Not Available |
| Full Name | Ki'arra M Goodman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 7300 Ashlake Pkwy Ste 200, Chesterfield, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659961456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024189033 (Virginia) | Primary |
| Entity Name | Privia Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
| Entity Name | Vitalcare Family Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205337417 PECOS PAC ID: 6709132731 Enrollment ID: O20180706000017 |
| Mailing Address | Practice Location Address |
|---|---|
| Ki'arra M Goodman, FNP-BC 3148 Zion St, Richmond, VA 23234-1639 Ph: () - | Ki'arra M Goodman, FNP-BC 7300 Ashlake Pkwy Ste 200, Chesterfield, VA 23832-2827 Ph: (804) 256-8282 |
Golda Trompeta, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7931 Mill River Ln, Chesterfield, VA 23832 Phone: 804-519-2823 | |
Hannah Braxton, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5625 Burnage Ct, Chesterfield, VA 23832 Phone: 804-878-3518 | |
Mrs. Laura Joyce Jensen, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6800 Lucy Corr Ct, Chesterfield, VA 23832 Phone: 804-318-8584 Fax: 804-748-5054 | |
Elethia Moore, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6801 Lucy Corr Ct, Chesterfield, VA 23832 Phone: 804-768-7318 | |
Darian Bottoms, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14412 Hull Street Rd, Chesterfield, VA 23832 Phone: 804-887-8322 | |
Lawanda Hubbard, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11501 Avening Rd, Chesterfield, VA 23832 Phone: 804-247-1572 | |
Patricia Hardy Lavinus, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11102 Rabbit Ridge Rd, Chesterfield, VA 23838 Phone: 804-387-5820 |