Kelly Marie Goodenough · Kelly Yudt · Physician Assistant

20251 John J Williams Hwy, Lewes, DE 19958-4314

Overview

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.

Provider Information

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

Doctor and Clinician Information

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

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y363A00000XPhysician AssistantC5-0000987DE

Taxonomy Information

Primary Taxonomy

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.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Charles Ibeziako 1515 E Columbia St, Othello, WA 99344-1846Physician Assistant2025-09-06
Brandon Romero Servino 3325 Harold Dr Ne, Salem, OR 97305-1339Physician Assistant2025-09-05
Grace Amelia Bauer 345 Saint Paul St, Baltimore, MD 21202-2123Physician Assistant2025-09-05
Abdualrahman Musa 100 Amador St, Staten Island, NY 10303-1797Physician Assistant2025-09-06
Lauren Pinelli 1215 Lee St, Charlottesville, VA 22908-0816Physician Assistant2025-09-06
Elijah Meisel 450 Brookline Ave, Boston, MA 02215-5418Physician Assistant2025-09-05
Christa Flowers-Rouse Dumc Box 102352, 10 Duke Medicine Circle, Durham, NC 27710Physician Assistant2025-09-06
Meriah Rose Hawkinson 312 Prince St, Sevierville, TN 37862-3823Physician Assistant2025-09-05
Kelly Witucki 4301 W Markham St, Little Rock, AR 72205-7101Physician Assistant2025-09-06
Olivia Rose Norris 3362 Chatsworth Way, Powder Springs, GA 30127-1359Physician Assistant2025-09-06
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Location Information

Street Address 20251 JOHN J WILLIAMS HWY
City LEWES
State DE
Zip Code 19958-4314
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Courtney Lyn Gwyer 424 Savannah Rd, Lewes, DE 19958-1462Radiology Practitioner Assistant2024-12-23
Mark J Stamm 28185 Celestial Way, Lewes, DE 19958Ophthalmology Physician2005-11-30
Vincent E Lotano 431 Savannah Rd Ste C, Lewes, DE 19958-1460Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician2006-10-20
Charlene Faye Larrimore 424 Savannah Rd, Lewes, DE 19958-1462Perinatal Registered Nurse2025-08-05
Rachel Forrest 424 Savannah Rd, Lewes, DE 19958-1462Family Nurse Practitioner2023-02-13
Robin Weems 431c Savannah Rd, Lewes, DE 19958-1460Physician Assistant2005-07-28
Lauren Kelly Freebery 424 Savannah Rd, Lewes, DE 19958-1462Surgery Physician2025-08-19
Charles Walter Ward 424 Savannah Rd, Lewes, DE 19958-1462Nurse Practitioner2025-06-27
The Nemours Foundation 424 Savannah Rd, Lewes, DE 19958-1462Multi-Specialty Clinic/Center2025-01-31
Brad Steven Hudson 750 Kings Highway, Suite 110, Lewes, DE 19958Medical Physician Assistant2006-04-12
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Dataset Information

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

Dataset Details

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.