Promenade Primary Care LLC
NPI 1770038887 · Primary Care Nurse Practitioner · Bethesda, MD
Promenade Primary Care LLC is a Primary Care Nurse Practitioner organization in Bethesda, MD (NPI 1770038887).
Provider details
- NPI number
- 1770038887
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Kelly Goodman, Owner(202) 684-7167
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% 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
Mailing address
Other names (DBA / former)
- Doing business as
- Kelly Goodman NP and Associates PC
Registry dates
- Enumerated
- 2016-08-18
- Last updated
- 2016-08-18
Frequently asked questions
- What is Promenade Primary Care LLC's NPI number?
- Promenade Primary Care LLC's National Provider Identifier (NPI) is 1770038887, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Promenade Primary Care LLC?
- Promenade Primary Care LLC is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Promenade Primary Care LLC located?
- Promenade Primary Care LLC's practice location on file with NPPES is 4701 Sangamore Rd, Bethesda, MD 20816-2508.
- What is Promenade Primary Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Promenade Primary Care LLC is (202) 684-7167.
- Who is the authorized official for Promenade Primary Care LLC?
- The authorized official listed on Promenade Primary Care LLC's NPPES record is Kelly Goodman, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Promenade Primary Care LLC's NPI active?
- Yes — Promenade Primary Care LLC's NPI (1770038887) is active in the NPPES registry as of the last update on 2016-08-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.