Anita L Goodrich, MD
Dermatology in Colchester, Vermont
1356444509- Practice location
- 354 Mountain View Dr, Suite 300, Colchester, VT 05446-5988
- Phone
- 802-864-0192
- Fax
- 802-860-4919
- Last updated
- October 22, 2026
Anita Louise Goodrich is a Dermatology based in Colchester, VT. Anita Louise Goodrich practices in Colchester, VT and has the professional credentials of MD. The NPI Number for Anita Louise Goodrich is 1356444509 and holds a License No. 204646 (NY). The current practice location address for Anita Louise Goodrich is 354 Mountain View Dr, Suite 300, Colchester, VT 05446-5988 and can be reached out via phone at 802-864-0192 and via fax at 802-860-4919.
Provider Profile Details
- NPI Number
- 1356444509
- Provider Name
- Anita Louise Goodrich
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 354 Mountain View Dr, Suite 300, Colchester, VT 05446-5988
- Phone Number
- 802-864-0192
- Fax Number
- 802-860-4919
- Primary Taxonomy
- Dermatology · 207N00000X
- Sole Proprietor
- No
- Other Names
- -- Anita Goodrich Licata, MD (Other Name)
- Provider Enumeration Date
- September 6, 2006
- Last Update Date
- October 22, 2026
- Certification Date
- October 22, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 354 Mountain View Dr
Suite 300
Colchester, VT 05446-5988 - City
- Colchester
- State
- Vermont
- Zip
- 05446-5988
- Phone Number
- 802-864-0192
- Fax Number
- 802-860-4919
Provider Business Mailing Address Details
- Address
- 354 Mountain View Drive
Suite 300
Colchester, VT 05446-5988 - City
- Colchester
- State
- VT
- Zip
- 05446-5988
- Phone Number
- 802-658-8624
- Fax Number
- 802-860-4919
License Information
- License Number (1)
- 204646
- License State (1)
- NY
- Taxonomy (1)
- Dermatology · 207N00000X
- License Number (2)
- 042-0008753
- License State (2)
- VT
- Taxonomy (2)
- Dermatology · 207N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dermatology providers near Colchester, VT
View all Dermatology providers in Colchester →Frequently Asked Questions
What is the NPI number of Anita L Goodrich, MD?
The NPI number of Anita L Goodrich, MD is 1356444509. It was assigned on September 6, 2006 and is currently active in the NPPES registry.
What is the specialty of Anita L Goodrich, MD?
Anita L Goodrich, MD is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in NY under license number 204646.
Where does Anita L Goodrich, MD practice?
The practice location is 354 Mountain View Dr, Suite 300, Colchester, VT 05446-5988. The office can be reached at 802-864-0192 (phone) or 802-860-4919 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356444509 directly on the NPPES registry website.