Kelly Marie Goodenough is a Physician Assistant practicing in Lewes, Delaware. The National Provider Identifier (NPI) is #1376889238, which was assigned on December 21, 2012, and the registration record was last updated on August 12, 2025. The practitioner's main practice location is at 20251 John J Williams Hwy, Lewes, DE 19958-4314; the contact telephone number is 3026446860, and the fax number is 3026446872. The primary taxonomy of Kelly Marie Goodenough is Physician Assistant (363A00000X). Kelly Marie Goodenough is licensed to practice in the state of Delaware (#C5-0000987).
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
NPI | 1376889238 |
Entity Type | Individual |
Provider Name | MRS. KELLY MARIE GOODENOUGH |
Other Name |
MRS. KELLY YUDT (Former Name) |
Gender | Female |
Credential | PA-C |
Other Credential | PA-C |
Practice Address |
20251 John J Williams Hwy Lewes DE 19958-4314 |
Practice Telephone | 3026446860 |
Practice Fax Number | 3026446872 |
Mailing Address |
20251 John J Williams Hwy Lewes DE 19958-4314 |
Mailing Telephone | 3026446860 |
Mailing Fax Number | 3026446860 |
Enumeration Date | 2012-12-21 |
Last Update Date | 2025-08-12 |
Is Sole Proprietor | Y |
PAC ID |
1557515863 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
Full Name | KELLY YUDT |
Primary Specialty | PHYSICIAN ASSISTANT |
Organization Legal Name | ASPIRA HEALTH |
Address |
18068 Coastal Hwy Lewes DE 19958-4901 |
Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
---|---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | C5-0000987 | DE |
Code | 363A00000X |
Taxonomy | Physician Assistant |
Classification | Physician Assistant |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
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Grace Amelia Bauer | 345 Saint Paul St, Baltimore, MD 21202-2123 | Physician Assistant | 2025-09-05 |
Abdualrahman Musa | 100 Amador St, Staten Island, NY 10303-1797 | Physician Assistant | 2025-09-06 |
Lauren Pinelli | 1215 Lee St, Charlottesville, VA 22908-0816 | Physician Assistant | 2025-09-06 |
Elijah Meisel | 450 Brookline Ave, Boston, MA 02215-5418 | Physician Assistant | 2025-09-05 |
Christa Flowers-Rouse | Dumc Box 102352, 10 Duke Medicine Circle, Durham, NC 27710 | Physician Assistant | 2025-09-06 |
Meriah Rose Hawkinson | 312 Prince St, Sevierville, TN 37862-3823 | Physician Assistant | 2025-09-05 |
Kelly Witucki | 4301 W Markham St, Little Rock, AR 72205-7101 | Physician Assistant | 2025-09-06 |
Olivia Rose Norris | 3362 Chatsworth Way, Powder Springs, GA 30127-1359 | Physician Assistant | 2025-09-06 |
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Street Address |
20251 JOHN J WILLIAMS HWY |
City | LEWES |
State | DE |
Zip Code | 19958-4314 |
Country | US |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Courtney Lyn Gwyer | 424 Savannah Rd, Lewes, DE 19958-1462 | Radiology Practitioner Assistant | 2024-12-23 |
Mark J Stamm | 28185 Celestial Way, Lewes, DE 19958 | Ophthalmology Physician | 2005-11-30 |
Vincent E Lotano | 431 Savannah Rd Ste C, Lewes, DE 19958-1460 | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 2006-10-20 |
Charlene Faye Larrimore | 424 Savannah Rd, Lewes, DE 19958-1462 | Perinatal Registered Nurse | 2025-08-05 |
Rachel Forrest | 424 Savannah Rd, Lewes, DE 19958-1462 | Family Nurse Practitioner | 2023-02-13 |
Robin Weems | 431c Savannah Rd, Lewes, DE 19958-1460 | Physician Assistant | 2005-07-28 |
Lauren Kelly Freebery | 424 Savannah Rd, Lewes, DE 19958-1462 | Surgery Physician | 2025-08-19 |
Charles Walter Ward | 424 Savannah Rd, Lewes, DE 19958-1462 | Nurse Practitioner | 2025-06-27 |
The Nemours Foundation | 424 Savannah Rd, Lewes, DE 19958-1462 | Multi-Specialty Clinic/Center | 2025-01-31 |
Brad Steven Hudson | 750 Kings Highway, Suite 110, Lewes, DE 19958 | Medical Physician Assistant | 2006-04-12 |
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Provider Name | Address | Taxonomy | Enumeration Date |
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Noel Kelly Staniszewski · Noel Marie Kelly | 801 Ostrum St, Bethlehem, PA 18015-1000 | Physician Assistant | 2022-10-03 |
Kelly Marie Makino · Kelly Marie Cosman | Cleveland Clinic 9500 Euclid Avenue / Jj24, Cleveland, OH 44195-0001 | Family Medicine Physician | 2016-05-19 |
Kelly Marie Kroz · Kelly Marie Burke | 106 S Stricker St, Baltimore, MD 21223-2457 | Mental Health Counselor | 2016-05-23 |
Kelly Marie Marshall · Kelly Marie Mcdaniel | 1001 Bishop St Ste 2685a, Honolulu, HI 96813-3404 | Registered Dietitian | 2012-05-04 |
Kelly Marie Rivera Lewis · Kelly Marie Lewis | 112 Candlewood Ct, Lynchburg, VA 24502-2653 | Marriage & Family Therapist | 2025-04-17 |
Kelly Marie Lajoie · Kelly Marie Craig | 3006 Eunice Ave, Spring Hill, FL 34609-3421 | Mental Health Counselor | 2007-01-22 |
Kelly Marie Holton · Kelly Marie Sufka | 7750 Diley Rd Ste B, Canal Winchester, OH 43110-7758 | Physical Therapist | 2013-05-31 |
Kelly Marie Giroux · Kelly Marie Brothers | 700 Childrens Dr, Columbus, OH 43205 | Pediatric Nurse Practitioner | 2016-08-25 |
Kelly Marie Collins · Kelly Marie Kennedy | 8616 W 10th St, Indianapolis, IN 46234-2198 | Occupational Therapy Assistant | 2015-09-08 |
Kelly Marie Schilling · Kelly Marie Boos | 800 Hospital Dr, Columbia, MO 65201-5275 | Recreation Therapist | 2025-05-08 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
Subject | Transparency and Disclosure |
Jurisdiction | Federal |
Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |