Individual provider Active NPI

Candace May Goodwin, CRNA

  • Certified Registered Nurse Anesthetist
  • Little Rock, AR
National Provider Identifier
1124387931
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
C002969 Issued in AR
Practice address
1 Childrens Way # 203
Little Rock, AR 72202
Phone
(501) 364-3433
Fax
(501) 364-2939
NPI assigned
May 14, 2012
Last updated
Apr 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 2022002848 MO
Certified Registered Nurse Anesthetist 367500000X C002969 AR Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MO, KS3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians

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 Hospital, North Kansas City, MO, CCN 260096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
C002969ARMDCertified Registered Nurse Anesthetist
2022002848MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Jan 9, 2017 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jan 9, 2017 Accepting new patients
Meritas Health Corporation CurrentSince Jun 1, 2022 Accepting new patients
Johnson Regional Medical Center CurrentSince Jan 1, 2020 Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients
Johnson Regional Medical Center CurrentSince Jan 1, 2020 Accepting new patients
Arkansas Children's Hospital CurrentSince Jan 9, 2017 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jan 9, 2017 Accepting new patients
Arkansas Childrens Hospital CurrentSince Jan 9, 2017 Accepting new patients
Meritas Health Corporation CurrentSince Jun 1, 2022 Accepting new patients
Meritas Health Corporation Current Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 3, 2022 Accepting new patients
BP Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 22, 2019 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
Little Rock, AR 72202
Phone (501) 441-3453

1 Childrens Way
#203
Little Rock, AR 72202
Phone (501) 364-2180

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

100 N Fillmore St
Little Rock, AR 72205
Phone (870) 226-5875

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

211 NE 54th St
Ste 100
Kansas City, MO 64118
Phone (816) 455-4214

2700 Clay Edwards Dr
Ste 240
North Kansas City, MO 64116
Phone (816) 455-0681

Interoperability endpoints

  • Direct secure messaging: cgoodwin121906@stormontvaildirect.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1124387931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS WAY # 653",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722023500",
            "telephone_number": "501-364-1100",
            "fax_number": "501-364-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS WAY # 203",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72202",
            "telephone_number": "501-364-3433",
            "fax_number": "501-364-2939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Clay Edwards Dr Ste 240",
            "address_purpose": "LOCATION",
            "city": "North Kansas City",
            "state": "MO",
            "postal_code": "641163254",
            "country_code": "US",
            "telephone_number": "816-691-2021",
            "fax_number": "816-346-7690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "CANDACE",
        "middle_name": "MAY",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-14",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2022002848",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C002969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.