Candace May Goodwin, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Little Rock, AR
NPI 1124387931 · NPPES record last updated Apr 7, 2022
Key facts
- NPI
- 1124387931
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- C002969 (AR)
- Practice address
- 1 Childrens Way # 203
Little Rock, AR 72202 - Phone
- (501) 364-3433
- Fax
- (501) 364-2939
- NPI assigned
- May 14, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Meritas Health Corporation
Practice addresses (Care Compare)
2700 Clay Edwards Dr
Suite 240
North Kansas City, MO 64116-3254
Phone (816) 691-2021
Hospital & facility affiliations
- NKC Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in AR, MO, KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150505002243 | AR | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0143486092 | Reassigns benefits to 7 organizations |
| I20220406001532 | MO | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0143486092 | Reassigns benefits to 1 organization |
| I20221227002223 | KS | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0143486092 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C002969 | AR | MD | Certified Registered Nurse Anesthetist |
| 2022002848 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Children'S Hospital | Current |
Accepting new patients | |
| University of Arkansas for Medical Sciences | Current |
Accepting new patients | |
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Johnson Regional Medical Center | Current |
Accepting new patients | |
| Meritas Health Corporation | Current |
Accepting new patients | |
| Meritas Health Corporation | Current | Accepting new patients | |
| Meritas Health Corporation | Current |
Accepting new patients | |
| University of Arkansas for Medical Sciences | Current |
Accepting new patients | |
| Johnson Regional Medical Center | Current |
Accepting new patients | |
| Arkansas Childrens Hospital | Current |
Accepting new patients | |
| University of Arkansas for Medical Sciences | Current |
Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| BP Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Patriot Anesthesia Associates, P.C. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Meritas Health Corporation | Past | Accepting new patients |
Locations
1100 E Poplar St
Ste B
Clarksville, AR 72830
Phone (479) 754-5454
700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200
3320 Central Ave
Hot Springs, AR 71913
Phone (501) 321-0560
300 Werner St
Hot Springs National Park, AR 71913
Phone (501) 622-1000
1 Childrens Way
#203
Little Rock, AR 72202
Phone (501) 364-2180
4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278
1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006
1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874
100 N Fillmore St
Little Rock, AR 72205
Phone (870) 226-5875
2700 Clay Edwards Dr
Ste 240
North Kansas City, MO 64116
Phone (816) 455-0681
Interoperability endpoints
- cgoodwin121906@stormontvaildirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2022002848 | MO | |
| Certified Registered Nurse Anesthetist | 367500000X | C002969 | AR | Yes |
Addresses
Primary practice location
1 Childrens Way # 203
Little Rock, AR 72202
Mailing address
1 Childrens Way # 653
Little Rock, AR 72202-3500
Phone (501) 364-1100
Other practice location 1
2700 Clay Edwards Dr Ste 240
North Kansas City, MO 64116-3254
Phone (816) 691-2021
Other providers in Little Rock, AR
- Ryan Patrick Goodner
- Bradley Goodnight
- Anna Claire Goodroe
- Timothy C Goodson
- Goodwill Industries of Arkansas, Inc
- Danielle Elizabeth Goodwin
- Jonathan Paul Goodwin
- Julia B. Goodwin
- Lindsey Nicole Goodwin
- Tiffany Vo Goodwin
All providers in Little Rock, AR · Certified Registered Nurse Anesthetist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.