Individual provider Active NPI

Felisa A Jackson Goodwins, BSW, MAC, CCMA

  • Community Health Registered Nurse
  • Livingston, AL
National Provider Identifier
1316624414
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
6-000742 Issued in AL
Practice address
100 US - 11
Livingston, AL 35470
Phone
(251) 776-2627
NPI assigned
Jun 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Pharmacy Technician 183700000X T72125 AL
Community Health Registered Nurse 163WC1500X 6-000742 AL Primary

Addresses

Primary practice location

100 US - 11
Livingston, AL 35470

Mailing address

PO Box 2198
Semmes, AL 36575-2198
Phone (251) 776-2627

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
6-000742ALMDCommunity Health Registered Nurse
T72125ALMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1316624414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2198",
            "city": "SEMMES",
            "state": "AL",
            "postal_code": "365752198",
            "telephone_number": "251-776-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 US - 11",
            "city": "LIVINGSTON",
            "state": "AL",
            "postal_code": "35470",
            "telephone_number": "251-776-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON GOODWINS",
        "first_name": "FELISA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "BSW, MAC, CCMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2025-05-06",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "AL",
            "license": "T72125",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "AL",
            "license": "6-000742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.