Individual provider Active NPI

Anne Elizabeth Goodwin, DVM

  • Veterinarian
  • Fishers, IN
National Provider Identifier
1114336518
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
24006881 Issued in IN
Practice address
7712 Crosspoint CMN
Fishers, IN 46038-2124
Phone
(317) 578-4100
Fax
(317) 578-4900
NPI assigned
Aug 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 24006881 IN Primary

Addresses

Primary practice location

7712 Crosspoint CMN
Fishers, IN 46038-2124

Mailing address

7712 Crosspoint CMN
Fishers, IN 46038-2124
Phone (317) 578-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
24006881INMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407715200000",
    "number": "1114336518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7712 CROSSPOINT CMN",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382124",
            "telephone_number": "317-578-4100",
            "fax_number": "317-578-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7712 CROSSPOINT CMN",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382124",
            "telephone_number": "317-578-4100",
            "fax_number": "317-578-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "ANNE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DVM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-11",
        "last_updated": "2014-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "IN",
            "license": "24006881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.