Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Promenade Primary Care LLC

Organization Primary Care Nurse Practitioner · NPI 1770038887

Promenade Primary Care LLC is a Primary Care Nurse Practitioner in Bethesda, Maryland. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4701 Sangamore Rd Ste S207
Bethesda, MD 20816-2508
Phone: (202) 684-7167
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1770038887
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Goodman — Owner · (202) 684-7167
Other names Kelly Goodman Np And Associates Pc
NPI enumeratedAugust 18, 2016
Last updated in NPPESAugust 18, 2016
Mailing address955 Lenfant Plz Sw, Suite 325, Washington, DC 20024-2119

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