Mary Anne Godwin, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

343413 Issued in OH

Practice address

1059 N Market St
Troy, OH 45373-1433

Phone

(937) 335-4543

Fax

(937) 339-8371

NPI assigned

Apr 30, 2013

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

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 and National Provider Directory roles.

• Mahajan Therapeutics, LLC

  • Community/Behavioral Health Agency
  • Dayton, OH
  • NPI 1669531810
  NPD (past)
• Mahajan Therapeutics, LLC

  • Community/Behavioral Health Agency
  • Portsmouth, OH
  • NPI 1952734469
  NPD (past)

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367280000000",
    "number": "1194160564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1059 N MARKET ST",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731433",
            "telephone_number": "937-335-4543",
            "fax_number": "937-339-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 N MARKET ST",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731433",
            "telephone_number": "937-335-4543",
            "fax_number": "937-339-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODWIN",
        "first_name": "MARY",
        "middle_name": "ANNE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "343413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek D. Gibbons, D.C.
• Zackary Ethan Gibson
• Kayla Nicole Gilbert
• Jay Gillespie, LICDC, SAP
• Gail Marie Godwin
• Rebecca Marie Gonter-Dray, RD CSP LD
• Kacey Adriana Gonzalez, RDN, LD
• Roger R Goodenough, MD
• Christine Gooding, PH.D., CCC-SLP
• Anne K Goodrich, LPN

• Registered Nurse in Troy, OH
• Providers in Troy, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.