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

Holly Rae Goodale, CSA, LSA, CSFA

Individual provider Surgical Assistant · NPI 1669157988

Holly Rae Goodale, CSA, LSA, CSFA is a Surgical Assistant in Richmond, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2023

Practice location Address checks out

5801 Bremo Rd
Richmond, VA 23226-1907
Phone: (804) 285-2011
Show map & directions

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

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 0136000808 (VA)

Record details

NPI number1669157988
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSA , LSA , CSFA
Sole proprietorYes
NPI enumeratedJune 15, 2023
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025

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