IndividualActive
Icey Goodrich
NPI 1720676059 · Community Health Worker · Fairmont, WV
Icey Goodrich is a Community Health Worker provider in Fairmont, WV (NPI 1720676059).
Provider details
- NPI number
- 1720676059
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
105 Maplewood Dr
Fairmont, WV 26554-2147
Phone: (304) 366-8779
Street-level locationGet directions
Mailing address
7 Hunting Hill Dr
Mannington, WV 26582-8142
Registry dates
- Enumerated
- 2021-01-03
- Last updated
- 2021-01-03
- Certified
- 2021-01-03
Frequently asked questions
- What is Icey Goodrich's NPI number?
- Icey Goodrich's National Provider Identifier (NPI) is 1720676059, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Icey Goodrich's specialty?
- Icey Goodrich is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).
- Where is Icey Goodrich located?
- Icey Goodrich's practice location on file with NPPES is 105 Maplewood Dr, Fairmont, WV 26554-2147.
- What is Icey Goodrich's phone number?
- The practice phone number listed in the NPPES registry for Icey Goodrich is (304) 366-8779.
- Is Icey Goodrich's NPI active?
- Yes — Icey Goodrich's NPI (1720676059) is active in the NPPES registry as of the last update on 2021-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.