Bernadette Augustine Godwin, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1626 Issued in AR

Practice address

18 County Road 458
Mountain Home, AR 72653-8212

Phone

(870) 425-5252

NPI assigned

Jan 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ascent Acquisitions Corp-Cypdc

  dba Child & Youth Pediatric Day Clinic

  • Developmentally Disabled Services Day Training Agency
  • Mountain Home, AR
  • NPI 1952434326

  Speech-Language Pathologist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083765630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "794 MARQUIS DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726535079",
            "telephone_number": "870-404-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 COUNTY ROAD 458",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726538212",
            "telephone_number": "870-425-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODWIN",
        "first_name": "BERNADETTE",
        "middle_name": "AUGUSTINE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "1626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Glenn, PT
• Elayna Glover
• Allan C Gocio, M.D.
• Lincoln Alexander Godfrey, D.O.
• Michelle Godfrey, DO
• Nicole Goodman
• Daniel C Goodwin, MD
• Gordon Counseling Services LLC (Lighthouse Counseling of the Ozarks)
• Christopher Gordon, M.S., LPC
• Sarah J Gore, LCSW

• Speech-Language Pathologist in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.