NPIMap

Individual provider Active NPI

Lauren Goddard, CRNP

  • Nurse Practitioner
  • Greensboro, AL
National Provider Identifier
1295194447
Registry record updated Mar 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-133873 Issued in AL
Practice address
850 Tuscaloosa St Ste a
Greensboro, AL 36744-1562
Phone
(334) 218-0160
Fax
(334) 212-0131
NPI assigned
Feb 16, 2016
Last updated
Mar 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-133873 AL Primary

Addresses

Primary practice location

850 Tuscaloosa St Ste a
Greensboro, AL 36744-1562

Mailing address

850 Tuscaloosa St Ste a
Greensboro, AL 36744-1562
Phone (334) 218-0160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160308001939 AL Practitioner - Nurse Practitioner 6002112612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

850 Tuscaloosa St
Suite a
Greensboro, AL 36744-1562
Phone (334) 218-0160

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Medical House Calls, PLLC CurrentSince Oct 1, 2024 Accepting new patients
Travis Clinic Current Accepting new patients

Locations

850 Tuscaloosa St
Ste A
Greensboro, AL 36744
Phone (334) 218-0160

100 E Cahaba Ave
Linden, AL 36748
Phone (334) 295-0170

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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.

Hospital & facility affiliations 10

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": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742083200000",
    "number": "1295194447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 TUSCALOOSA ST STE A",
            "city": "GREENSBORO",
            "state": "AL",
            "postal_code": "367441562",
            "telephone_number": "334-218-0160",
            "fax_number": "334-212-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 TUSCALOOSA ST STE A",
            "city": "GREENSBORO",
            "state": "AL",
            "postal_code": "367441562",
            "telephone_number": "334-218-0160",
            "fax_number": "334-212-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODDARD",
        "first_name": "LAUREN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-16",
        "last_updated": "2025-03-16",
        "certification_date": "2025-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-133873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, AL

Sources for this page

Verify at the official NPI Registry.